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Missouri 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
$662.25 / $6,041.00 / $12,174.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,286.00 / $10,011.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,285.00 / $13,118.00 / $15,563.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.87 / $859.37 / $16,020.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,516.00 / $5,800.00 / $10,781.00