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Pennsylvania rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.02 / $4,761.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.79 / $1,214.96 / $2,148.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.34 / $1,724.79 / $2,296.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.79 / $1,614.07 / $2,503.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.47 / $1,946.93 / $1,946.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,026.78 / $7,602.44 / $41,899.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.02 / $5,342.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.81 / $1,372.83 / $3,302.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,861.70 / $3,132.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.13 / $1,615.09 / $2,733.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.36 / $1,226.36 / $1,423.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.95 / $1,237.53 / $1,423.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.39 / $1,534.56 / $2,704.53