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Wisconsin rates for HCPCS 52354

Cysto/Pyeloscopy Bx&/Fulguration Pelivc Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.96 / $1,500.54 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.60 / $1,228.89 / $1,982.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.96 / $573.24 / $3,017.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.96 / $3,017.43 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.96 / $573.24 / $3,017.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.05 / $1,241.58 / $1,691.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,302.50 / $14,302.50 / $14,302.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00