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Washington rates for HCPCS 51065

Cystotomy W/Calculus Basket Xtrj&/Fragmentatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.97 / $5,116.62 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.61 / $747.78 / $1,510.27
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,968.10 / $9,879.37 / $25,560.89
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.13 / $1,352.48 / $9,677.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.44 / $2,353.44 / $3,920.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.27 / $1,192.73 / $1,759.88
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.67 / $1,312.08 / $6,620.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.78 / $1,283.46 / $2,641.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.37 / $688.71 / $1,337.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.50 / $1,119.57 / $1,166.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.55 / $795.64 / $1,470.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.97 / $1,327.16 / $1,631.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,406.33 / $9,879.37 / $18,898.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.86 / $1,141.98 / $1,541.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $2,431.00 / $11,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.68 / $1,210.65 / $1,657.76