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Arizona rates for HCPCS 51065

Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,677.35 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,511.89 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $537.03 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $870.96 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $1,148.15