go back

Pennsylvania rates for HCPCS 53855

Insert Temp Prostatic Ureth Stent W/Measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.98 / $524.50 / $825.76
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.08 / $1,027.08 / $1,375.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.88 / $602.61 / $1,197.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.30 / $974.08 / $1,012.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $588.91 / $1,403.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $888.70 / $1,873.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.23 / $602.61 / $1,351.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.81 / $564.92 / $685.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.46 / $893.07 / $1,516.51