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Pennsylvania rates for HCPCS 52290

Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,981.07 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,691.53 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $478.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $338.84 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,311.31 / $6,606.93