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Pennsylvania rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $3,548.13 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $831.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $251.19 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $489.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $407.38 / $446.68
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $346.74 / $501.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,623.41 / $9,120.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,818.38 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $323.59 / $741.31
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $537.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $457.09 / $549.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $251.19 / $371.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $245.47 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,311.31 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $457.09