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Kentucky 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
$177.83 / $1,202.26 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $288.40 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $131.83 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,235.94 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $309.03 / $512.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $169.82 / $229.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $269.15 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $223.87 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $346.74 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,754.23 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $263.03 / $457.09