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Pennsylvania rates for HCPCS 52275

Cystourethroscopy W/Internal Urethrotomy Male

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.74 / $2,747.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.59 / $472.07 / $657.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $7,463.00 / $11,048.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.50 / $520.41 / $520.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.81 / $487.94 / $976.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.82 / $800.23 / $819.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.30 / $5,430.30 / $6,751.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.68 / $488.24 / $1,130.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $521.79 / $1,467.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.72 / $487.94 / $976.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.05 / $509.62 / $785.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.05 / $513.17 / $560.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.84 / $654.40 / $1,075.24