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Pennsylvania rates for HCPCS 51045

Cystotomy, with insertion of ureteral catheter or stent (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $5,370.32 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $57,543.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,570.88 / $8,511.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,023.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $489.78 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,238.72 / $6,456.54