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Washington, DC rates for HCPCS 52353

Cysto W/Ureteroscopy W/Lithotripsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.90 / $5,578.00 / $7,879.55
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,504.47 / $5,504.47 / $5,504.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.13 / $860.75 / $860.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00