go back

Pennsylvania rates for HCPCS 55120

Removal of foreign body in scrotum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.23 / $355.44 / $567.57
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
$357.54 / $371.03 / $371.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.13 / $459.71 / $702.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.56 / $555.28 / $560.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,046.66 / $8,046.66 / $8,046.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.73 / $392.58 / $1,659.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $385.90 / $892.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.65 / $465.79 / $729.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.30 / $345.30 / $369.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.84 / $345.92 / $369.26
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
$313.75 / $413.80 / $698.18