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Pennsylvania rates for HCPCS 57415

Removal Impacted Vag Fb Spx W/Anes Oth/Thn Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,747.00 / $8,017.00
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
$10,978.58 / $10,978.58 / $10,978.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,120.00 / $8,017.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.01 / $171.93 / $214.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.00 / $4,243.22 / $10,233.65