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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

Facilitymedian $4,898 · 10th–90th $550–$13,8040%20%10th90th$4,898$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $4,897.79 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $123.03 / $123.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $3,311.31 / $10,715.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,495.41 / $14,125.38