go back

North Dakota 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
$582.23 / $582.23 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.96 / $582.23 / $582.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.82 / $1,226.70 / $1,470.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.86 / $1,375.62 / $1,776.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.23 / $822.20 / $1,746.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.41 / $1,092.19 / $1,510.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.82 / $1,163.30 / $1,510.32