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Tennessee 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
$888.78 / $4,069.00 / $10,234.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,454.96 / $2,454.96 / $2,454.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,523.00 / $4,657.00 / $7,950.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,135.21 / $14,302.50 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00