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Kansas 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
$2,757.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.80 / $660.80 / $927.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.29 / $990.93 / $990.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.25 / $873.20 / $1,146.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.80 / $1,076.40 / $6,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.41 / $749.39 / $9,677.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.35 / $683.50 / $1,205.74