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Massachusetts 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
$1,924.00 / $2,747.00 / $5,039.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.03 / $3,997.00 / $14,302.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.75 / $858.48 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.23 / $9,164.10 / $11,784.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,525.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00