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Pennsylvania rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $3,627.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.79 / $289.07 / $365.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.07 / $297.89 / $297.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.14 / $378.42 / $589.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.69 / $440.02 / $440.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.79 / $315.07 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $373.00 / $706.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.36 / $383.03 / $660.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.37 / $279.37 / $441.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.48 / $281.18 / $441.93
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
$284.05 / $366.46 / $613.33