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Pennsylvania rates for HCPCS 53240

Marsupialization Urtl Diverticulum Male/Female

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.78 / $424.42 / $539.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.41 / $442.50 / $442.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.51 / $549.75 / $860.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.14 / $660.48 / $665.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.78 / $456.49 / $2,239.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $542.29 / $1,065.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.19 / $556.15 / $867.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.36 / $413.36 / $455.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.66 / $414.51 / $455.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.00 / $3,331.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.52 / $521.76 / $855.30