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Pennsylvania rates for HCPCS 54690

Laparoscopy, surgical; orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $5,079.00 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.41 / $637.41 / $1,011.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.89 / $920.37 / $1,388.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.14 / $868.96 / $1,398.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.84 / $1,011.98 / $1,015.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,845.34 / $15,845.34 / $15,845.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.00 / $5,350.00 / $9,830.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.91 / $724.93 / $3,104.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $862.60 / $1,629.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.40 / $895.51 / $1,519.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.77 / $636.77 / $677.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.69 / $639.66 / $677.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $7,000.00 / $18,778.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.63 / $773.56 / $1,319.21