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Minnesota 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
$3,981.07 / $7,762.47 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,248.07 / $9,332.54 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $9,772.37 / $23,442.29
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,022.64 / $21,379.62 / $54,954.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,479.11 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,258.93 / $1,862.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $2,754.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,890.45 / $8,709.64
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,090.30 / $5,248.07 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $8,709.64 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $851.14 / $1,621.81