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Pennsylvania rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.37 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.84 / $257.18 / $522.63
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
$223.75 / $263.23 / $263.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.46 / $303.18 / $476.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.99 / $398.56 / $404.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,577.69 / $4,908.25 / $9,043.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.34 / $280.74 / $684.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $270.80 / $667.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.54 / $308.14 / $495.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $217.79 / $272.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $243.58 / $264.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,824.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.03 / $319.43 / $528.55