go back

West Virginia 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
$439.81 / $439.81 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.73 / $549.40 / $598.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.86 / $527.86 / $527.86