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Pennsylvania rates for HCPCS 54830

Excision Local Lesion Epididymis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.01 / $3,748.00 / $7,320.06
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $5,951.00 / $8,887.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.80 / $2,798.80 / $11,631.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.00 / $3,795.62 / $7,799.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.05 / $362.35 / $362.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,824.00 / $4,815.00