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Colorado 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 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,549.93 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $758.58 / $2,290.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,754.40 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,513.56