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Pennsylvania rates for HCPCS 58120

Dilation & Curettage Dx&/Ther Nonobstetric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.12 / $3,607.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.74 / $259.75 / $508.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.48 / $427.48 / $540.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $5,951.00 / $8,887.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.10 / $304.16 / $477.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.12 / $309.95 / $530.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.71 / $467.32 / $469.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,377.35 / $6,844.20 / $14,114.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.17 / $3,245.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.97 / $307.95 / $722.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $333.50 / $783.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.96 / $322.38 / $541.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.24 / $264.69 / $306.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.24 / $284.24 / $310.48
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
$243.73 / $342.87 / $549.16