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Pennsylvania rates for HCPCS 50693

Plmt Urtrl Stent Prq Pre-Existing Nfros Tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,627.00 / $8,104.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,574.48 / $4,806.39 / $7,285.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $4,068.00 / $8,247.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.13 / $244.01 / $1,111.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.00 / $3,475.00 / $6,000.00