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Pennsylvania rates for HCPCS 52315

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.96 / $3,090.07 / $8,115.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.77 / $421.26 / $728.90
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
$442.38 / $459.07 / $459.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $469.97 / $828.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.66 / $698.91 / $712.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.80 / $5,802.77 / $9,182.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $3,090.07 / $8,115.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.72 / $465.33 / $982.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $804.30 / $1,244.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.39 / $481.17 / $828.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.10 / $404.16 / $775.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.10 / $446.02 / $486.04
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
$438.17 / $572.29 / $910.97