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Pennsylvania rates for HCPCS 54680

Transplantation of testis(es) to thigh (because of scrotal destruction)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.92 / $789.42 / $999.87
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
$694.79 / $1,105.89 / $1,484.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.77 / $1,016.95 / $1,596.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.07 / $1,214.78 / $1,219.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $845.40 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $984.20 / $1,957.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.25 / $1,026.83 / $1,649.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.12 / $765.12 / $867.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.14 / $768.65 / $867.02
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
$764.66 / $968.65 / $1,584.56