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Pennsylvania rates for HCPCS 50580

Rnl Ndsc Nfrot/Plot W/Rmvl Fb/Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.50 / $2,371.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.41 / $631.51 / $897.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,928.32 / $5,951.00 / $8,887.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.29 / $844.95 / $1,150.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.48 / $791.89 / $1,238.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.04 / $917.92 / $917.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.41 / $653.00 / $1,541.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $750.10 / $1,476.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.00 / $798.70 / $1,390.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.59 / $584.59 / $666.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.60 / $588.82 / $666.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.84 / $746.36 / $1,242.58