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Alaska rates for HCPCS 52354

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,285.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.46 / $1,957.78 / $2,799.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.46 / $1,957.78 / $2,799.63