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Pennsylvania rates for HCPCS 53855

Insertion of a temporary prostatic urethral stent, including urethral measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $524.81 / $1,047.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,023.29 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $562.34 / $1,174.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,122.02
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $758.58 / $1,148.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $602.56 / $1,584.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,659.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $114.82 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $512.86 / $1,096.48