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Pennsylvania rates for HCPCS 50725

Urtrolss Retrocaval Urtr W/Reanast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.54 / $1,107.71 / $1,397.41
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
$1,098.32 / $1,139.77 / $1,139.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.16 / $1,419.72 / $2,234.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.82 / $1,689.02 / $1,694.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.54 / $1,171.51 / $3,479.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,413.90 / $2,720.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.11 / $1,432.76 / $2,324.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.35 / $1,068.35 / $1,133.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.39 / $1,074.20 / $1,133.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.73 / $1,430.41 / $2,379.05