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California 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
$3,548.13 / $8,912.51 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,471.29 / $17,782.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,819.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,981.07 / $10,964.78
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $794.33 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,584.89
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $602.56 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,202.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,230.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,513.56
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,585.78 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $1,659.59