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New York 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
$570.70 / $5,324.00 / $11,116.48
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,427.96 / $4,763.97 / $11,715.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.57 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.44 / $442.44 / $6,511.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $714.00 / $10,121.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,101.80 / $6,861.14 / $11,590.55
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,700.00 / $4,700.00 / $4,700.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.44 / $597.00 / $8,498.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $7,477.00 / $13,746.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $1,480.32