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Washington rates for HCPCS 51050

Cystolithotomy Cystotomy W/Rmvl Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.26 / $7,863.94 / $27,982.24
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,562.96 / $14,663.54 / $28,049.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.08 / $3,585.08 / $5,972.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.79 / $1,068.58 / $6,620.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.13 / $911.20 / $950.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.04 / $648.03 / $2,173.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,508.65 / $14,655.16 / $28,049.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $2,431.00 / $11,261.00