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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
$623.27 / $5,886.88 / $9,701.48
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,976.07 / $11,060.15 / $11,060.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,960.45 / $6,745.16 / $15,840.12
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,856.74 / $4,114.95 / $5,135.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.66 / $6,400.81 / $9,175.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,976.07 / $11,060.15 / $11,060.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $8,847.00 / $10,652.00