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Maryland 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
$1,224.81 / $3,195.38 / $5,291.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $2,659.03 / $2,659.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.65 / $563.45 / $900.69