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Pennsylvania rates for HCPCS 51800

Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.05 / $5,254.00 / $10,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.78 / $1,099.50 / $1,353.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.61 / $1,074.70 / $1,074.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.25 / $1,343.41 / $2,119.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.76 / $1,593.82 / $1,598.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,526.00 / $11,083.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.78 / $1,120.40 / $5,481.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,322.30 / $2,567.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.57 / $1,350.48 / $2,183.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.03 / $1,007.03 / $1,198.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.13 / $1,012.36 / $1,198.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.67 / $1,285.28 / $2,099.44