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Pennsylvania rates for HCPCS 58345

Transcerv Fallopian Tube Cath W/Wo Hystosalping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $2,371.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.51 / $271.10 / $432.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $5,951.00 / $8,887.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.80 / $385.14 / $502.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.14 / $365.40 / $584.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.52 / $455.42 / $455.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,715.05 / $4,989.47 / $6,715.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,371.00 / $7,888.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.20 / $380.93 / $1,269.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $335.20 / $736.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.14 / $367.89 / $619.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.70 / $284.70 / $342.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.55 / $286.57 / $342.06
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
$261.86 / $346.60 / $574.46