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Pennsylvania rates for HCPCS 54861

Epididymectomy; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $4,264.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.34 / $539.04 / $721.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.17 / $796.82 / $1,059.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.60 / $735.04 / $1,146.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.21 / $880.11 / $885.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.91 / $584.33 / $2,994.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $699.40 / $1,421.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.23 / $743.63 / $1,146.40
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.45 / $552.45 / $663.67
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.48 / $554.33 / $663.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.00 / $4,300.00 / $11,100.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.51 / $698.03 / $1,200.14