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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
$3,422.00 / $4,500.00 / $8,622.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.76 / $798.33 / $997.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,886.52 / $12,228.99 / $15,681.77
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,099.64 / $18,343.49 / $24,448.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00