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Pennsylvania rates for HCPCS 54000

Slitting of prepuce, dorsal or lateral (separate procedure); newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.96 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.71 / $146.96 / $195.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.66 / $166.73 / $277.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.39 / $176.83 / $293.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.12 / $255.93 / $261.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.71 / $149.36 / $700.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $266.20 / $430.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.93 / $181.89 / $295.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.14 / $115.89 / $257.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.08 / $154.16 / $168.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.30 / $200.72 / $337.23