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Vermont 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
$125.89 / $5,128.61 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,456.54 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $575.44 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $630.96 / $1,698.24