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Oklahoma 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
$1,300.00 / $4,192.00 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,450.57 / $8,614.95 / $13,717.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.29 / $884.00 / $6,698.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93