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Pennsylvania rates for HCPCS 50081

Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.66 / $6,768.00 / $22,411.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,902.53 / $24,097.87 / $55,812.83
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$6,805.02 / $6,805.02 / $6,805.02
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$41,448.62 / $41,448.62 / $41,448.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.66 / $6,029.00 / $19,471.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.04 / $1,092.04 / $1,477.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00