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Oklahoma 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
$1,300.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.98 / $649.98 / $661.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.49 / $752.49 / $768.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.30 / $784.39 / $909.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.09 / $994.80 / $6,698.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.08 / $741.56 / $9,677.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.02 / $656.10 / $1,060.81