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Missouri rates for HCPCS 50065

Nephrolithotomy; secondary surgical operation for calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.63 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.20 / $1,369.83 / $1,398.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $11,288.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.65 / $1,465.05 / $2,372.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.08 / $1,720.99 / $3,163.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.00 / $1,998.31 / $7,903.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.88 / $2,194.80 / $9,503.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.89 / $1,689.70 / $3,301.96