go back

Virginia rates for HCPCS 52353

Cysto W/Ureteroscopy W/Lithotripsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.10 / $5,967.00 / $11,637.18
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,442.25 / $10,442.25 / $10,442.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.99 / $440.39 / $543.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.82 / $545.99 / $814.13
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$875.37 / $1,033.53 / $2,407.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.06 / $545.02 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00