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Pennsylvania rates for HCPCS 51820

Cystourethroplasty with unilateral or bilateral ureteroneocystostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.07 / $5,254.00 / $10,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.61 / $1,092.46 / $1,375.98
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
$1,082.81 / $1,123.67 / $1,123.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.45 / $1,397.36 / $2,195.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.49 / $1,667.64 / $1,673.37
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
$960.61 / $1,156.07 / $5,706.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,339.90 / $2,687.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.99 / $1,411.58 / $2,306.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.50 / $1,052.50 / $1,099.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.50 / $1,057.76 / $1,100.91
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
$1,066.49 / $1,321.48 / $2,181.33