go back

Pennsylvania rates for HCPCS 52442

Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $2,071.25 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.62 / $556.04 / $1,408.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.82 / $1,356.28 / $1,675.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.26 / $145.13 / $1,557.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.55 / $1,285.19 / $1,340.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.54 / $243.49 / $1,146.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,071.25 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.77 / $641.00 / $1,634.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.09 / $1,277.20 / $2,505.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.21 / $145.13 / $1,557.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $67.61 / $978.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $810.87 / $908.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.51 / $1,165.59 / $1,932.42