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Pennsylvania rates for HCPCS 54150

Circumcision, using clamp or other device with regional dorsal penile or ring block

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.37 / $1,544.00 / $6,012.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $5,951.00 / $8,887.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $4,326.97 / $9,460.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $2,151.96 / $8,017.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.19 / $144.46 / $336.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00