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Pennsylvania rates for HCPCS 58520

Hysterorrhaphy Repair Rupt Uterus Nonobstetrical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $4,761.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.21 / $759.30 / $1,221.66
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
$797.36 / $827.45 / $827.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.23 / $1,021.39 / $1,613.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.84 / $1,253.30 / $1,253.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.44 / $946.44 / $8,349.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $5,350.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.00 / $853.93 / $2,660.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $849.40 / $2,027.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.44 / $1,031.82 / $1,749.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.62 / $788.62 / $853.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.47 / $794.62 / $853.23
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
$733.66 / $1,016.25 / $1,605.61