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Pennsylvania rates for HCPCS 53085

Drg Perineal Urinary Xtrvasation Complic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.58 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.38 / $646.07 / $822.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.27 / $673.77 / $673.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.02 / $846.07 / $1,312.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.50 / $1,003.73 / $1,009.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,860.62 / $3,860.62 / $3,860.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.58 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.38 / $692.67 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $915.60 / $1,381.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.24 / $875.17 / $1,502.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.95 / $629.95 / $754.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.62 / $632.24 / $754.46
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
$633.89 / $806.97 / $1,298.42