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Pennsylvania 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
$977.24 / $5,370.32 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,344.23 / $8,912.51 / $8,912.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,606.93 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $12,882.50 / $22,908.68
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$42,657.95 / $42,657.95 / $42,657.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,570.88 / $8,511.38
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,344.23 / $8,912.51 / $8,912.51
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $812.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $467.74 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $16,595.87