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Michigan 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
$549.54 / $4,897.79 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $123.03 / $616.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $3,311.31 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,248.07 / $12,302.69