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West Virginia 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
$4,772.20 / $7,995.64 / $22,795.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.03 / $459.05 / $500.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.44 / $442.44 / $442.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,372.06 / $11,690.97 / $22,862.44
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$24,053.30 / $24,053.30 / $24,053.30