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Arizona 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
$1,965.00 / $4,182.00 / $8,104.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,184.00 / $8,184.00 / $8,184.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,106.86 / $5,113.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.18 / $564.42 / $3,790.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00