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Pennsylvania rates for HCPCS 50782

Ureteroneocystostomy; anastomosis of duplicated ureter to bladder

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
$951.09 / $1,080.53 / $1,362.68
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
$945.46 / $1,505.93 / $1,994.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.13 / $1,419.96 / $2,184.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.55 / $1,649.14 / $1,653.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.09 / $1,136.67 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,510.50 / $2,655.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.75 / $1,444.25 / $2,476.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.90 / $1,041.90 / $1,345.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.84 / $1,047.51 / $1,345.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,228.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.80 / $1,323.52 / $2,164.31