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North Dakota 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
$131.83 / $1,412.54 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $281.84 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $389.05 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $295.12 / $891.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $478.63 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $302.00 / $630.96