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Ohio 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
$748.87 / $5,072.00 / $11,581.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,580.50 / $6,580.50 / $6,580.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.00 / $4,142.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.41 / $469.69 / $733.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,383.00 / $6,522.00