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Pennsylvania rates for HCPCS 57335

Vaginoplasty for intersex state

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.16 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.75 / $1,118.51 / $1,793.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.77 / $1,218.06 / $2,171.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.33 / $1,498.80 / $2,375.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.40 / $1,844.35 / $1,844.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.75 / $1,206.43 / $3,249.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,329.40 / $2,982.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.08 / $1,516.43 / $2,448.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.08 / $1,160.08 / $1,172.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.46 / $1,169.08 / $1,218.83
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
$1,073.58 / $1,375.99 / $2,362.34