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Pennsylvania rates for HCPCS 53420

Urtp 2-Stg Rcnstj/Rpr Prostat/Urethra 1st Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.21 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.39 / $847.65 / $1,066.98
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
$839.45 / $871.12 / $871.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.22 / $1,085.08 / $1,706.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.85 / $1,292.15 / $1,297.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.39 / $897.21 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,115.59 / $2,085.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.34 / $1,095.17 / $1,772.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.27 / $816.27 / $1,061.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.57 / $820.23 / $1,061.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.07 / $1,036.35 / $1,716.59