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Georgia 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
$1,995.26 / $4,786.30 / $7,585.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,388.44 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,244.36 / $9,772.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $1,905.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,168.69 / $6,918.31