go back

Maryland 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
$420.08 / $2,152.80 / $3,111.50
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,457.97 / $4,457.97 / $4,457.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $2,659.03 / $2,659.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.07 / $528.10 / $845.59