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Michigan 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
$2,137.96 / $6,165.95 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,951.21 / $10,964.78 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $114.82 / $114.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $6,165.95 / $11,481.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,951.21 / $10,964.78 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,413.10 / $12,882.50