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Missouri rates for HCPCS 51065

Cystotomy W/Calculus Basket Xtrj&/Fragmentatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.05 / $660.80 / $675.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.21 / $696.09 / $1,144.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.28 / $824.92 / $1,512.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.66 / $1,106.68 / $10,868.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.59 / $1,058.40 / $9,677.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.41 / $826.32 / $1,589.09