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Pennsylvania rates for HCPCS 52305

Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,981.07 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $891.25
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $549.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $407.38
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $537.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,691.53 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $1,047.13
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $549.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $426.58 / $588.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $416.87 / $416.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $416.87 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $323.59 / $562.34