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Pennsylvania rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.72 / $2,675.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.12 / $398.37 / $772.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.74 / $429.35 / $624.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.55 / $452.77 / $775.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $254.38 / $649.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,348.25 / $6,932.26 / $25,954.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.88 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.16 / $430.14 / $959.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $157.30 / $1,153.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.02 / $463.97 / $775.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.70 / $359.55 / $464.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $416.74 / $452.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.20 / $497.94 / $819.26