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Pennsylvania rates for HCPCS 53661

Dilat Female Urt W/Suppository&/Instlj Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.69 / $2,747.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.44 / $65.27 / $109.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.98 / $75.75 / $129.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $76.88 / $137.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.57 / $115.96 / $118.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.79 / $546.79 / $546.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $4,264.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.07 / $72.09 / $184.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $162.80 / $194.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.17 / $78.81 / $147.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.47 / $53.43 / $82.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $70.31 / $76.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $85.55 / $136.25