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Pennsylvania rates for HCPCS 50390

Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,371.00 / $7,197.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.70 / $902.13 / $2,372.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,326.00 / $7,799.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.85 / $91.85 / $137.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $1,305.00 / $3,742.00