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Georgia 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
$899.14 / $4,829.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.82 / $674.48 / $1,269.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.80 / $3,116.30 / $6,315.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.58 / $810.02 / $1,565.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.96 / $2,090.96 / $2,090.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.16 / $968.47 / $1,609.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.42 / $742.86 / $1,574.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,826.00 / $7,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.54 / $845.11 / $1,519.25