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Pennsylvania rates for HCPCS 50783

Ureteroneocystostomy; with extensive ureteral tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,427.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.30 / $1,164.83 / $1,682.90
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
$990.37 / $1,578.65 / $2,128.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.17 / $1,468.18 / $2,286.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.84 / $1,726.00 / $1,731.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.30 / $1,209.21 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,545.50 / $2,782.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.18 / $1,486.12 / $2,546.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.21 / $1,092.21 / $1,382.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.50 / $1,098.20 / $1,382.89
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
$1,127.19 / $1,387.71 / $2,301.17