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Pennsylvania rates for HCPCS 53454

Periurethral Tprnl Adjtbl Balo Cntnc Dev Adjmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,422.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $23.59 / $189.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,594.00 / $3,718.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.07 / $55.53 / $169.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $89.61 / $89.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $31.10 / $1,541.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.07 / $58.93 / $187.50
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
$22.37 / $27.96 / $49.77