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Pennsylvania rates for HCPCS 50770

Transureteroureterostomy, anastomosis of ureter to contralateral ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.86 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.86 / $1,146.31 / $1,461.14
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
$1,013.66 / $1,192.54 / $1,945.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.19 / $1,484.30 / $2,338.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.68 / $1,766.93 / $1,771.61
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
$1,019.86 / $1,217.54 / $2,953.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,489.80 / $2,844.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.25 / $1,499.07 / $2,404.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.06 / $1,117.06 / $1,464.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.58 / $1,123.19 / $1,464.70
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
$1,081.93 / $1,424.51 / $2,344.73