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Washington, DC rates for HCPCS 51065

Cystotomy W/Calculus Basket Xtrj&/Fragmentatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $5,076.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.08 / $621.08 / $621.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.91 / $690.97 / $6,701.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.26 / $769.98 / $1,972.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.94 / $1,311.34 / $1,311.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.92 / $846.64 / $1,519.39