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Indiana 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
$148.31 / $5,019.97 / $8,428.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.63 / $205.99 / $324.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.40 / $84.40 / $96.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $8,388.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.02 / $270.97 / $439.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.58 / $156.75 / $186.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.68 / $293.39 / $383.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.40 / $1,286.40 / $1,286.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.49 / $286.37 / $548.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.76 / $335.02 / $552.04