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Washington, DC 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
$1,012.80 / $5,076.00 / $6,743.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.20 / $915.77 / $915.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00