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Tennessee 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
$1,096.48 / $2,691.53 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,162.28 / $8,128.31 / $8,128.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,370.32 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57