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Pennsylvania rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.45 / $4,761.00 / $19,167.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.83 / $1,220.42 / $1,499.69
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
$1,015.73 / $1,618.37 / $2,177.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.47 / $1,496.94 / $2,348.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.28 / $1,770.31 / $1,775.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,451.55 / $18,451.55 / $18,451.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,342.00 / $10,527.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.83 / $1,239.83 / $2,338.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,456.30 / $2,853.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.54 / $1,502.15 / $2,390.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.69 / $1,119.69 / $1,331.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.10 / $1,125.85 / $1,331.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.57 / $1,448.05 / $2,343.71