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Pennsylvania rates for HCPCS 50953

Ureteral Endoscopy Via Ureterost W/Wo Dil Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.15 / $2,070.00 / $7,629.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,326.00 / $8,017.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.77 / $387.81 / $820.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00