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Pennsylvania rates for HCPCS 50065

Nephrolithotomy Secondary Surg Operj Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.08 / $1,200.50 / $1,532.03
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
$1,061.51 / $1,692.44 / $2,271.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.16 / $1,554.98 / $2,371.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.05 / $1,849.31 / $1,854.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.08 / $1,280.56 / $3,094.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,435.70 / $2,980.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.53 / $1,569.81 / $2,452.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.94 / $1,170.94 / $1,467.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.03 / $1,177.66 / $1,467.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.91 / $1,480.07 / $2,435.16