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Pennsylvania rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.23 / $2,070.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $97.44 / $183.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.94 / $161.82 / $161.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.58 / $141.27 / $264.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.12 / $249.27 / $255.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.55 / $117.82 / $641.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $263.89 / $440.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $145.83 / $279.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.62 / $87.61 / $156.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.62 / $134.25 / $168.73
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
$115.64 / $165.34 / $283.43