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Pennsylvania rates for HCPCS 57160

Fitting and insertion of pessary or other intravaginal support device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.08 / $341.60 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.96 / $77.12 / $159.96
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$20.02 / $29.89 / $40.60
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$8.01 / $11.96 / $16.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $75.86 / $164.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.45 / $80.62 / $136.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.76 / $116.61 / $117.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.13 / $724.10 / $1,128.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.92 / $1,544.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.18 / $80.59 / $169.63
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$20.12 / $32.85 / $65.73
Martin's Point
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$8.05 / $13.42 / $26.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $96.40 / $194.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $82.28 / $141.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.21 / $65.08 / $74.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.21 / $70.94 / $77.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.93 / $88.93 / $138.28