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Pennsylvania rates for HCPCS 55120

Removal of foreign body in scrotum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,890.45 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $912.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $446.68 / $707.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $562.34
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $446.68 / $707.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $8,128.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,818.38 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $467.74 / $1,148.15
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $707.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $575.44 / $758.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $407.38 / $407.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,311.31 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $707.95