go back

Pennsylvania rates for HCPCS 38102

Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $5,754.40 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $524.81 / $870.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,265.80 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $371.54 / $524.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $2,089.30 / $6,309.57