go back

North Carolina rates for HCPCS 52353

Cysto W/Ureteroscopy W/Lithotripsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.56 / $8,002.00 / $10,034.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,939.08 / $3,939.08 / $3,939.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.11 / $660.14 / $1,500.00
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$875.37 / $1,515.42 / $2,250.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,081.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,135.21 / $14,302.50 / $26,542.00