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Pennsylvania rates for HCPCS 54692

Laparoscopy, surgical; orchiopexy for intra-abdominal testis

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
$692.76 / $780.90 / $3,000.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $36,032.05
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.66 / $1,061.08 / $1,608.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.81 / $977.31 / $1,597.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.62 / $1,163.80 / $1,167.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.90 / $18,718.25 / $33,682.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.00 / $5,403.00 / $9,830.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.76 / $853.61 / $3,039.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $888.10 / $1,874.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.65 / $984.98 / $1,622.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.13 / $734.13 / $827.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.72 / $737.88 / $827.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.32 / $946.21 / $1,547.40