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Hawaii 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
$1,635.55 / $2,747.00 / $5,484.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.81 / $483.06 / $563.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00