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Pennsylvania rates for HCPCS 51605

Injection procedure and placement of chain for contrast and/or chain urethrocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.36 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $39.29 / $48.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.15 / $39.59 / $61.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.55 / $43.55 / $43.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.39 / $49.35 / $150.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.30 / $57.23 / $77.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $41.10 / $203.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.80 / $557.79 / $557.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.92 / $43.55 / $43.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.39 / $48.59 / $151.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.11 / $37.11 / $610.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.03 / $37.24 / $610.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $1,078.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $48.14 / $299.23