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Pennsylvania rates for HCPCS 54840

Excision of spermatocele, with or without epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $5,011.87 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,248.07 / $9,332.54
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,585.78 / $7,585.78 / $12,022.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $4,570.88 / $8,511.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $645.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $416.87 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,311.31 / $6,606.93