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Massachusetts 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
$281.84 / $2,691.53 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $281.84 / $954.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $3,981.07 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $346.74 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $489.78 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $363.08 / $870.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $501.19 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $331.13 / $489.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $338.84 / $724.44
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,890.45 / $5,248.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $537.03 / $562.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $4,265.80 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $346.74 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $354.81 / $758.58