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California 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
$2,399.02 / $8,740.00 / $24,033.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$43,402.50 / $43,402.50 / $43,402.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $7,166.00 / $15,328.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $100.00 / $10,912.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.52 / $3,764.71 / $8,869.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.88 / $451.25 / $618.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.13 / $520.73 / $947.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.71 / $14,302.50 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.36 / $549.16 / $907.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $7,402.00 / $16,148.00