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California rates for HCPCS 51050

Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,387.00 / $8,050.00 / $18,681.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,204.00 / $8,905.00 / $17,774.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,150.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.52 / $3,764.71 / $8,869.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.84 / $594.17 / $1,021.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.83 / $621.17 / $1,114.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$500.00 / $500.00 / $500.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,628.72 / $14,302.50 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.13 / $645.26 / $1,018.45
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$177.56 / $177.56 / $177.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,384.00 / $15,471.00