go back

West Virginia rates for HCPCS 51065

Cystotomy W/Calculus Basket Xtrj&/Fragmentatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.13 / $545.13 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.50 / $579.26 / $657.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.69 / $683.52 / $744.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.96 / $661.96 / $661.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.54 / $660.54 / $660.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.66 / $827.45 / $3,404.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.30 / $642.97 / $1,020.33