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Indiana 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
$440.96 / $1,386.00 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $8,512.00 / $16,307.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.38 / $562.54 / $649.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,379.37 / $3,379.37 / $3,379.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00