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Louisiana 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
$363.08 / $1,548.82 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $239.88 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $120.23 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,388.44 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $257.04 / $478.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,454.71 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $251.19 / $467.74