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Wyoming 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
$537.03 / $549.54 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,951.21 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,122.02 / $2,137.96