go back

New York 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
$627.96 / $4,827.00 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.90 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.32 / $537.32 / $6,511.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $600.00 / $1,221.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,157.32 / $12,157.32 / $12,166.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.32 / $555.00 / $6,511.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.42 / $613.42 / $1,630.73