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Indiana 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
$457.09 / $3,467.37 / $14,125.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $18,197.01 / $26,302.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $416.87 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $588.84 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $10,715.19