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New York 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
$269.14 / $3,205.00 / $7,343.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.32 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.83 / $281.83 / $4,612.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.31 / $282.00 / $480.94
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.83 / $597.00 / $8,498.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.94 / $212.94 / $575.89