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North Dakota 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 / $2,884.03 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $602.56 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $5,128.61