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Pennsylvania rates for HCPCS 50610

Ureterolithotomy; upper one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $6,165.95 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $2,089.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $1,862.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $1,412.54
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,819.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,248.07 / $9,549.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $2,951.21
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,862.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $1,995.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,071.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $912.01 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,570.40 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,905.46