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Pennsylvania rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.95 / $308.67 / $463.51
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
$263.51 / $419.77 / $564.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.18 / $387.06 / $607.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.63 / $461.29 / $463.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,459.37 / $15,459.37 / $39,479.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $4,070.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.05 / $330.15 / $1,068.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $387.30 / $742.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.56 / $389.47 / $637.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.42 / $290.42 / $334.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.74 / $291.70 / $334.05
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
$290.93 / $369.91 / $607.40