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Pennsylvania rates for HCPCS 54865

Exploration Epididymis W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,371.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.48 / $359.66 / $456.66
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
$319.69 / $504.10 / $668.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.91 / $466.29 / $725.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.66 / $563.49 / $568.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.48 / $387.41 / $1,897.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $403.90 / $904.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.09 / $471.79 / $727.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.88 / $350.45 / $350.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.88 / $350.45 / $368.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.85 / $432.53 / $726.48