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Pennsylvania rates for HCPCS 54001

Slitting Prepuce Dorsal/Lat Spx Xcp Newborn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.34 / $2,675.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.59 / $177.34 / $248.33
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
$196.29 / $203.70 / $290.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $222.22 / $366.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.59 / $310.81 / $316.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,626.56 / $2,626.56 / $2,626.56
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
$129.41 / $185.61 / $700.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $325.30 / $517.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.58 / $224.21 / $372.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.36 / $159.27 / $312.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.36 / $188.00 / $204.77
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
$189.31 / $239.19 / $381.05