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Idaho 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
$3,388.44 / $4,466.84 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,011.87 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,630.27 / $6,025.60 / $20,417.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $831.76 / $3,388.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,748.98 / $16,218.10
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,882.50 / $18,197.01 / $24,547.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69