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Virginia rates for HCPCS 50065

Nephrolithotomy Secondary Surg Operj Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.08 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.11 / $1,372.08 / $1,497.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,927.78 / $20,791.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.99 / $1,410.48 / $1,934.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.67 / $1,614.09 / $2,810.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.66 / $1,621.55 / $3,007.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.49 / $1,370.99 / $1,690.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.75 / $1,683.91 / $2,334.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.00 / $1,687.00 / $2,803.70
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.26 / $1,620.88 / $2,897.51
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.26 / $1,620.88 / $2,897.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.79 / $1,636.33 / $2,613.50