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Iowa 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
$3,725.84 / $4,911.00 / $7,120.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.88 / $660.71 / $1,714.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.84 / $1,091.70 / $12,371.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.00 / $1,259.73 / $4,818.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,732.00 / $8,342.00