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Maryland 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
$556.16 / $3,517.51 / $7,879.55
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,369.06 / $5,525.27 / $9,617.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.67 / $503.29 / $2,175.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.81 / $450.65 / $628.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $2,659.03 / $2,659.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.88 / $566.49 / $1,270.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.83 / $544.16 / $897.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.88 / $483.27 / $831.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.38 / $485.10 / $603.75