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Arizona 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
$2,137.96 / $4,677.35 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,801.89 / $6,918.31 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $741.31 / $1,949.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $416.87 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,235.94 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $794.33 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,786.30 / $4,786.30 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,623.41 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $831.76