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Pennsylvania rates for HCPCS 53500

Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $4,761.00 / $8,933.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $5,350.00 / $10,247.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.26 / $730.66 / $730.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00