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Oklahoma 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
$1,300.00 / $4,350.00 / $13,200.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$78.56 / $78.56 / $78.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,464.88 / $8,620.91 / $13,717.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.60 / $754.51 / $6,698.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $2,900.00 / $5,543.93