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Pennsylvania rates for HCPCS 45400

Laparoscopy, surgical; proctopexy (for prolapse)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.58 / $3,938.00 / $8,104.00
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 / $800.00 / $2,151.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.90 / $125.90 / $125.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.61 / $2,502.61 / $2,502.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.89 / $10,201.49 / $13,626.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.00 / $4,070.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.90 / $125.90 / $125.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.63 / $932.00 / $1,102.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.00 / $3,331.00 / $6,000.00