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Pennsylvania rates for HCPCS 55870

Electroejaculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.13 / $2,070.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.06 / $159.81 / $205.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.07 / $184.79 / $184.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.71 / $206.93 / $327.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.99 / $277.89 / $281.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.06 / $167.81 / $800.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $212.90 / $445.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.85 / $211.54 / $338.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.47 / $159.83 / $192.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.47 / $166.93 / $180.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $1,305.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.21 / $215.98 / $389.54