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Pennsylvania rates for HCPCS 52310

Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.23 / $2,805.36 / $7,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.25 / $285.56 / $598.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $5,951.00 / $8,887.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.33 / $305.45 / $632.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.82 / $284.25 / $502.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $254.38 / $469.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,246.80 / $4,326.97 / $8,278.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.00 / $3,299.38 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.25 / $303.54 / $668.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $648.29 / $857.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.47 / $295.29 / $535.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.12 / $192.33 / $308.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.12 / $297.02 / $330.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.33 / $350.09 / $572.37