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Kansas 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
$398.11 / $3,630.78 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $263.03 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $138.04 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,454.71 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $436.52 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,089.30 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $275.42 / $426.58