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Wyoming 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
$2,545.92 / $2,545.92 / $2,545.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.66 / $143.66 / $324.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.00 / $323.00 / $745.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.77 / $312.77 / $613.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.70 / $714.64 / $1,092.95