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Missouri 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
$2,507.00 / $5,731.97 / $14,144.81
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,367.00 / $9,033.76 / $17,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.30 / $472.39 / $1,180.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.77 / $526.78 / $587.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.82 / $487.87 / $790.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,285.00 / $13,118.00 / $15,563.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.85 / $596.91 / $1,035.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.58 / $701.81 / $8,647.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,061.12 / $3,061.12 / $4,792.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.97 / $724.92 / $3,057.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $5,800.00 / $11,258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.35 / $599.13 / $1,142.35