go back

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
$1,154.06 / $5,079.00 / $9,534.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,151.00 / $13,512.01
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,622.75 / $2,622.75 / $2,622.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,991.18 / $45,254.48 / $62,838.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,350.00 / $9,830.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,109.00 / $12,857.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.30 / $1,148.30 / $1,301.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.00 / $4,557.00 / $7,000.00