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Virginia 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
$813.42 / $5,328.00 / $9,347.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.54 / $543.04 / $669.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.51 / $657.38 / $925.19
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$128.31 / $164.35 / $192.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.76 / $633.83 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00