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Alaska rates for HCPCS 52355

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,774.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.22 / $2,195.17 / $3,139.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.22 / $2,195.17 / $3,139.09