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New York 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
$691.83 / $3,981.07 / $10,471.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,398.83 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,819.70 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $794.33 / $1,659.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,365.16 / $10,964.78
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $602.56 / $1,621.81