go back

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
$1,230.27 / $3,388.44 / $5,370.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $5,128.61 / $33,884.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $776.25 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,570.88 / $11,748.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $5,370.32 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $11,220.18