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Colorado 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
$1,937.00 / $3,606.00 / $10,651.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,468.26 / $7,468.26 / $7,468.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.63 / $551.98 / $704.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.15 / $619.88 / $796.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,852.00 / $6,090.00 / $14,057.00