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Georgia 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 / $3,981.07 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $295.12 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,238.72 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $295.12 / $489.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $181.97 / $257.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $323.59 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $288.40 / $524.81
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,265.80 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,168.69 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $302.00 / $575.44