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Arizona rates for HCPCS 51820

Cystourethroplasty with unilateral or bilateral ureteroneocystostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.17 / $1,106.13 / $5,706.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.68 / $894.24 / $1,117.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.84 / $1,312.75 / $2,381.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.27 / $1,461.70 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.77 / $1,281.56 / $10,018.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.10 / $1,192.06 / $2,259.19