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Oklahoma 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
$338.84 / $2,570.40 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $263.03 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $123.03 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,495.41 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $288.40 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $741.31 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $354.81 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,235.94 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $229.09 / $380.19