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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
$388.17 / $3,725.84 / $6,575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,438.51 / $8,328.96 / $18,388.59
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$11,798.61 / $17,901.08 / $31,387.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.92 / $1,393.91 / $3,353.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.04 / $1,274.35 / $2,640.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.99 / $818.46 / $7,770.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00