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Pennsylvania rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $3,839.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,572.96 / $5,121.03 / $9,182.08
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,204.81 / $8,204.81 / $8,643.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,597.00 / $8,404.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.94 / $313.94 / $412.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00