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Minnesota 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
$552.96 / $552.96 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.96 / $624.89 / $849.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.75 / $5,677.23 / $12,389.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.11 / $1,510.93 / $2,120.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.27 / $1,997.10 / $4,804.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.78 / $1,925.45 / $2,746.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.82 / $1,825.82 / $3,782.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.87 / $1,724.77 / $2,285.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.84 / $1,171.30 / $7,770.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.20 / $1,510.32 / $3,032.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.70 / $1,510.32 / $2,328.71