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Indiana rates for HCPCS 52353

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.32 / $5,679.70 / $16,604.97
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,629.84 / $9,629.84 / $9,629.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $8,766.00 / $16,307.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.31 / $528.44 / $792.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,379.37 / $3,379.37 / $3,379.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $9,550.00 / $15,750.00