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Vermont rates for HCPCS 52005

Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $380.19 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $275.42 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $398.11 / $812.83