go back

New York 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
$588.84 / $4,168.69 / $11,220.18
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,398.83 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,819.70 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$851.14 / $851.14 / $851.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $676.08 / $1,412.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,760.83 / $16,218.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,365.16 / $10,964.78
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $537.03 / $1,445.44