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Arizona rates for HCPCS 52356

Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $4,521.00 / $8,447.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,152.00 / $6,895.50 / $7,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.41 / $511.70 / $1,838.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.57 / $3,840.73 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.67 / $380.84 / $472.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.67 / $525.28 / $915.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.22 / $606.39 / $7,168.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,818.78 / $4,818.78 / $5,103.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.58 / $485.03 / $3,057.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.56 / $466.83 / $851.76