go back

Washington, DC 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
$331.13 / $2,818.38 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $281.84 / $977.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $1,949.84 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $302.00 / $912.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $323.59 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $288.40 / $616.60