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Pennsylvania rates for HCPCS 50100

Transection or repositioning of aberrant renal vessels (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.95 / $1,080.26 / $1,398.47
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
$955.88 / $1,529.82 / $2,002.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.75 / $1,375.17 / $2,202.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.85 / $1,754.64 / $1,754.64
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
$956.95 / $1,164.10 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $1,280.00 / $2,733.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.45 / $1,398.52 / $2,243.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.42 / $1,058.42 / $1,070.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.28 / $1,070.15 / $1,115.65
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
$962.21 / $1,328.86 / $2,340.76