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Massachusetts 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
$1,924.00 / $2,900.00 / $8,272.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,181.00 / $8,181.00 / $8,181.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.92 / $5,097.00 / $16,742.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.80 / $805.62 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,103.85 / $4,436.96 / $8,471.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,135.21 / $6,280.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00