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Nebraska 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
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.59 / $534.59 / $3,056.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,896.29 / $5,280.48 / $9,912.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.28 / $885.14 / $1,180.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.14 / $1,344.79 / $1,775.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.76 / $1,015.72 / $7,772.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.49 / $1,352.51 / $9,677.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.14 / $1,363.99 / $3,145.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.04 / $1,275.82 / $1,773.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $920.70 / $1,449.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.25 / $1,293.79 / $1,579.27