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Arizona rates for HCPCS 52355

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,365.16 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,511.89 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $724.44 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,630.78 / $5,370.32