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Oklahoma 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
$1,346.00 / $4,918.07 / $13,200.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,302.00 / $4,302.00 / $9,580.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.80 / $8,653.12 / $13,616.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.23 / $965.00 / $10,198.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95