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Vermont rates for HCPCS 51065

Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $794.33 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $2,398.83