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Pennsylvania rates for HCPCS 58262

Vag Hyst 250 Gm/< W/Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.73 / $7,278.00 / $15,074.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,655.14 / $10,341.45 / $24,572.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.73 / $6,185.00 / $15,074.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.10 / $913.10 / $1,062.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00