go back

Maryland rates for HCPCS 51820

Cystourethroplasty with unilateral or bilateral ureteroneocystostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.67 / $1,175.81 / $3,151.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.96 / $1,243.96 / $1,421.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.99 / $1,456.74 / $3,369.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.26 / $1,483.30 / $2,372.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.79 / $1,283.57 / $2,177.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.38 / $1,282.55 / $1,594.86