go back

Pennsylvania rates for HCPCS 57410

Pelvic Examination W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.65 / $3,389.00 / $8,169.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,135.94 / $6,346.27 / $15,040.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.51 / $3,459.58 / $8,169.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.00 / $103.00 / $232.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.00 / $4,243.22 / $10,233.65