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Hawaii 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
$2,747.00 / $5,484.00 / $6,637.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.88 / $455.97 / $1,660.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.69 / $501.10 / $501.10
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.29 / $664.22 / $8,902.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.97 / $481.06 / $561.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.10 / $538.30 / $657.80
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.92 / $6,612.00 / $9,416.00