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Pennsylvania rates for HCPCS 51040

Cystostomy Cystotomy W/Drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.00 / $4,264.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,348.77 / $6,295.28 / $9,891.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,597.00 / $8,240.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.87 / $282.87 / $405.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00