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Pennsylvania rates for HCPCS 58410

Uterine Susp W/Wo Short Ligamnts W/Sympathectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.24 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.77 / $749.55 / $1,014.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.37 / $845.10 / $845.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.27 / $1,038.47 / $1,646.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.93 / $1,280.07 / $1,280.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.24 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.39 / $804.65 / $2,143.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $923.20 / $2,068.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.62 / $1,053.56 / $1,699.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.80 / $804.49 / $804.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.80 / $804.49 / $845.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.89 / $1,044.41 / $1,597.77