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Pennsylvania rates for HCPCS 55040

Excision Hydrocele Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $5,600.00 / $9,452.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $7,463.00 / $11,048.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.27 / $8,615.91 / $15,818.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $4,828.00 / $9,313.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.88 / $328.88 / $423.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00