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South Carolina 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
$575.44 / $7,079.46 / $14,791.08
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $5,128.61 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $4,168.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $575.44 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $11,220.18 / $17,378.01