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Texas 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
$1,000.00 / $3,715.35 / $12,302.69
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,570.40 / $3,548.13 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,760.83 / $12,589.25
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,000.00 / $7,244.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $4,466.84 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $33,884.42 / $33,884.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $812.83 / $5,370.32
Moda Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,570.40 / $3,548.13 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $537.03 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,912.51