go back

Missouri rates for HCPCS 51525

Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.74 / $4,470.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $2,251.00 / $7,012.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.92 / $1,458.02 / $4,553.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $6,854.00