go back

Idaho 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
$354.81 / $4,265.80 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $295.12 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,235.94 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $457.09 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $269.15 / $537.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $398.11 / $1,621.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $316.23 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,011.87 / $6,456.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $251.19 / $501.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $257.04 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $288.40 / $512.86