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Pennsylvania rates for HCPCS 38120

Laparoscopic Surgical Splenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.29 / $4,894.00 / $8,933.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $800.00 / $3,025.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,383.73 / $2,383.73 / $2,383.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,991.18 / $36,649.28 / $61,357.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,470.00 / $10,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.90 / $1,156.90 / $1,156.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $800.00 / $3,025.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.33 / $1,034.66 / $1,034.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,803.00 / $4,563.00 / $7,000.00