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Idaho 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
$1,115.86 / $9,986.09 / $19,121.30
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,521.12 / $13,597.20 / $23,744.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.41 / $535.04 / $937.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.72 / $712.10 / $795.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.58 / $670.54 / $1,200.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.54 / $697.39 / $797.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $576.03 / $724.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,064.64 / $12,228.99 / $15,681.77
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,971.33 / $18,343.49 / $24,448.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.08 / $626.08 / $771.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.35 / $599.49 / $886.51