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Pennsylvania rates for HCPCS 54522

Orchiectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $3,748.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.45 / $593.17 / $913.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $5,951.00 / $8,887.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.36 / $825.82 / $1,161.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.91 / $762.18 / $1,211.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.38 / $909.62 / $913.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,285.12 / $7,285.12 / $7,285.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.53 / $654.26 / $1,749.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $732.90 / $1,465.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.67 / $767.54 / $1,260.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.35 / $571.35 / $650.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.55 / $573.58 / $650.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.75 / $728.18 / $1,183.60