go back

Michigan rates for HCPCS 52354

Cysto/Pyeloscopy Bx&/Fulguration Pelivc Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.88 / $4,933.00 / $13,805.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.07 / $5,582.12 / $7,604.38
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,225.49 / $3,802.19 / $5,155.97
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.40 / $4,933.00 / $13,805.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00