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Rhode Island 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
$2,089.30 / $5,248.07 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $302.00 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $223.87 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $275.42 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $257.04 / $501.19