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Louisiana 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
$739.00 / $2,397.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.20 / $907.57 / $972.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,991.07 / $5,504.31 / $8,107.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.70 / $819.50 / $1,051.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.04 / $747.68 / $1,005.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.82 / $758.27 / $1,212.33