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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
$1,412.54 / $6,606.93 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $3,019.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,584.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,148.15
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,479.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $33,884.42 / $38,904.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $5,370.32 / $9,772.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $2,511.89
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,513.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,659.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,000.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,513.56