go back

New Hampshire rates for HCPCS 51065

Cystotomy W/Calculus Basket Xtrj&/Fragmentatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,324.17 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.36 / $834.84 / $2,324.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.90 / $1,107.03 / $1,673.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.60 / $1,199.58 / $1,916.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.14 / $1,287.76 / $2,138.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.68 / $1,122.75 / $3,727.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.04 / $500.54 / $637.05