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Pennsylvania rates for HCPCS 51045

Cystotomy W/Insj Ureteral Cath/Stent Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $4,264.00 / $8,240.00
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
$1,013.00 / $4,761.00 / $8,247.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.38 / $487.61 / $487.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $1,305.00 / $3,742.00