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Ohio 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
$1,000.00 / $5,851.00 / $11,627.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,108.00 / $9,108.00 / $9,108.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,437.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.93 / $440.32 / $687.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,754.43 / $4,180.24 / $8,820.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,392.00 / $10,075.00