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Pennsylvania rates for HCPCS 56805

Clitoroplasty Intersex State

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.99 / $1,110.68 / $1,773.93
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
$1,161.98 / $1,205.83 / $1,205.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.21 / $1,484.41 / $2,352.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.12 / $1,825.33 / $1,825.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,324.51 / $15,324.51 / $15,324.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.80 / $1,187.34 / $2,161.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,411.90 / $2,953.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.85 / $1,501.27 / $2,507.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.72 / $1,148.72 / $1,205.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.35 / $1,157.75 / $1,206.74
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
$1,063.13 / $1,439.49 / $2,339.64