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Alaska rates for HCPCS 52356

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $8,090.15 / $14,422.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.41 / $810.02 / $2,740.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.04 / $1,447.04 / $1,447.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.87 / $1,952.42 / $2,791.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.28 / $2,587.19 / $3,427.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.00 / $1,786.40 / $2,657.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.87 / $1,952.42 / $2,791.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.38 / $1,797.00 / $2,687.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.47 / $1,736.46 / $2,682.26