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Pennsylvania rates for HCPCS 50780

Ureteroneocystostomy Anast 1 Ureter Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,124.72 / $6,667.48 / $26,462.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $9,534.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.15 / $1,078.15 / $1,301.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00