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Arizona 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
$618.00 / $2,260.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.30 / $266.48 / $612.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $175.95 / $263.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.35 / $1,768.35 / $1,768.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.62 / $272.04 / $509.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.54 / $293.13 / $3,339.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.95 / $369.89 / $3,439.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.51 / $318.06 / $597.41