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Alaska rates for HCPCS 52007

Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.03 / $7,340.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.20 / $1,083.07 / $2,716.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.20 / $1,083.07 / $2,716.74