go back

Wisconsin 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
$794.33 / $14,791.08 / $15,848.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $1,862.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $4,677.35 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $7,585.78 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $870.96 / $1,479.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $14,454.40 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,302.69 / $16,218.10