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Alaska rates for HCPCS 51565

Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,826.92 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,052.27 / $6,052.27 / $8,421.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,485.82 / $4,485.82 / $4,485.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.31 / $6,052.27 / $8,654.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,116.58 / $8,093.40 / $10,622.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,817.50 / $5,588.30 / $8,225.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.31 / $6,052.27 / $8,654.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.63 / $5,638.50 / $8,373.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,255.49 / $5,382.99 / $8,241.91