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Pennsylvania rates for HCPCS 50040

Nephrostomy Nephrotomy W/Drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.20 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.33 / $921.15 / $1,173.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.54 / $1,297.83 / $1,738.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.34 / $1,188.57 / $1,881.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.53 / $1,424.30 / $1,429.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.20 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.33 / $986.20 / $3,748.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,208.30 / $2,292.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.76 / $1,205.21 / $1,891.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.92 / $897.92 / $974.99
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.38 / $902.40 / $974.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.92 / $1,135.82 / $1,855.98