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Pennsylvania rates for HCPCS 54163

Repair incomplete circumcision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.47 / $2,954.00 / $8,113.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,226.14 / $6,908.53 / $11,826.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $3,552.00 / $8,451.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.80 / $212.36 / $212.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00