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Pennsylvania rates for HCPCS 51525

Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $5,754.40 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $4,265.80 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,698.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,630.78 / $6,025.60