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Pennsylvania rates for HCPCS 50728

Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.31 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.77 / $745.38 / $977.26
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
$701.03 / $727.49 / $1,292.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.27 / $920.12 / $1,458.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.29 / $1,082.70 / $1,088.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.31 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.52 / $750.97 / $1,899.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $963.10 / $1,833.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.54 / $949.11 / $1,538.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.85 / $679.85 / $831.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.82 / $682.55 / $831.72
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
$697.65 / $913.35 / $1,477.97