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Virginia rates for HCPCS 51065

Cystotomy W/Calculus Basket Xtrj&/Fragmentatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.24 / $5,360.00 / $9,975.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.13 / $657.24 / $718.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.04 / $684.21 / $938.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.51 / $912.84 / $5,895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.53 / $776.73 / $1,440.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.79 / $665.75 / $821.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.52 / $806.61 / $1,136.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.00 / $808.00 / $1,360.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.79 / $779.32 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.79 / $779.32 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.71 / $765.67 / $1,259.94