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Pennsylvania rates for HCPCS 58294

Vaginal Hysterectomy >250 Gm Rpr Enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.67 / $4,761.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.21 / $1,115.52 / $1,515.47
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
$1,072.08 / $1,687.51 / $2,254.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.69 / $1,567.27 / $2,450.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.60 / $1,905.94 / $1,905.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.67 / $5,342.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.02 / $1,217.34 / $3,183.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,403.50 / $3,067.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.18 / $1,577.36 / $2,653.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.74 / $1,200.31 / $1,327.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.74 / $1,211.19 / $1,327.51
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
$1,152.53 / $1,537.60 / $2,468.44