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Kentucky 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
$458.91 / $860.00 / $9,311.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,093.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.74 / $602.38 / $694.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.71 / $527.86 / $527.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $3,086.00 / $6,295.00