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Washington, DC 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
$1,017.00 / $4,100.00 / $6,945.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.54 / $1,025.80 / $1,025.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00