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Minnesota 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
$389.05 / $3,715.35 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $9,772.37 / $23,442.29
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,022.64 / $21,379.62 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,479.11 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$851.14 / $851.14 / $851.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $912.01 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $13,489.63