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Arkansas rates for HCPCS 52005

Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $1,071.52 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $239.88 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $131.83 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $398.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $295.12 / $524.81
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $234.42 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $524.81