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Idaho 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
$3,422.00 / $8,622.00 / $36,289.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.98 / $947.65 / $1,116.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,886.52 / $12,228.99 / $15,681.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00