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South Carolina 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
$204.17 / $6,025.60 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $281.84 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $131.83 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,801.89 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $257.04 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $302.00 / $537.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $302.00 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $10,964.78 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $263.03 / $489.78