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Utah 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
$559.01 / $4,387.00 / $8,344.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,298.64 / $9,810.86 / $14,297.23
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,947.96 / $14,716.29 / $21,445.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00