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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
$316.23 / $3,630.78 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $323.59 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $281.84 / $446.68
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,248.07 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $537.03 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $275.42 / $512.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $257.04 / $512.86
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $354.81 / $501.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,168.69 / $7,413.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $3,235.94 / $8,128.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $323.59 / $794.33
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $3,090.30 / $6,606.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $691.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $295.12 / $407.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $302.00 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,754.23 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $457.09