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Florida 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
$714.00 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.29 / $535.79 / $704.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.00 / $1,649.96 / $1,964.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.60 / $769.98 / $1,224.93
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.06 / $429.71 / $755.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.89 / $549.90 / $766.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.00 / $5,811.00 / $10,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.82 / $678.91 / $1,193.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.50 / $431.50 / $431.50