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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
$657.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.51 / $291.52 / $414.91
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
$275.12 / $285.51 / $285.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.56 / $362.22 / $567.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.62 / $421.35 / $421.96
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
$244.51 / $302.02 / $1,459.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $361.40 / $678.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.52 / $362.22 / $627.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.80 / $268.80 / $418.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.08 / $270.70 / $418.07
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
$271.13 / $345.02 / $561.61