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West Virginia 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
$436.52 / $4,677.35 / $16,595.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$851.14 / $851.14 / $851.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $10,232.93 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $15,135.61