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California 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
$2,197.85 / $7,858.00 / $18,681.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,204.00 / $8,905.00 / $17,774.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,317.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.52 / $3,764.71 / $8,869.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.15 / $505.15 / $743.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.64 / $583.04 / $1,061.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,552.16 / $14,302.50 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.86 / $631.84 / $1,059.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $7,402.00 / $16,148.00