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Oregon 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
$660.43 / $7,920.26 / $20,400.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,695.50 / $8,695.50 / $8,695.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.49 / $933.65 / $1,051.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.94 / $837.36 / $1,154.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.01 / $786.00 / $822.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.94 / $1,003.47 / $6,246.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,525.75 / $15,225.66 / $19,370.28
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$17,288.63 / $22,838.49 / $29,055.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $9,074.00 / $12,786.00