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Pennsylvania rates for HCPCS 54164

Frenulotomy of penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $3,890.45 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,090.30 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $389.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $186.21 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,311.31 / $6,606.93