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North Carolina 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
$460.10 / $1,635.00 / $10,561.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.10 / $641.54 / $1,174.31
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$111.20 / $128.31 / $234.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,628.72 / $14,302.50 / $26,542.00