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Pennsylvania rates for HCPCS 38573

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $6,606.93 / $9,772.37
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
$501.19 / $2,089.30 / $13,489.63
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $45,708.82 / $63,095.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $5,370.32 / $9,772.37
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,288.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,011.87 / $30,902.95