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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
$136.59 / $299.89 / $694.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.32 / $448.32 / $528.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.88 / $298.16 / $1,112.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.89 / $366.11 / $1,112.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.62 / $420.28 / $1,365.93