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Pennsylvania rates for HCPCS 53425

Urtp 2-Stg Rcnstj/Rpr Prostat/Urethra 2nd Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.90 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.66 / $942.55 / $1,188.14
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
$934.45 / $969.72 / $969.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.65 / $1,206.55 / $1,899.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.11 / $1,438.27 / $1,442.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.66 / $997.90 / $2,963.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,198.09 / $2,317.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.33 / $1,218.58 / $1,991.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.57 / $908.57 / $1,068.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.73 / $913.35 / $1,068.57
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
$899.12 / $1,147.93 / $1,899.14