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Pennsylvania rates for HCPCS 52265

Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.24 / $2,679.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.01 / $338.07 / $574.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.79 / $352.62 / $352.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.39 / $358.10 / $711.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $254.38 / $544.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.52 / $3,058.22 / $3,176.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.82 / $342.94 / $785.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $289.00 / $1,021.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.13 / $370.41 / $719.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.82 / $361.70 / $583.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.82 / $355.79 / $389.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $3,000.00 / $6,593.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.74 / $470.18 / $749.06