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Pennsylvania rates for HCPCS 58541

Laparoscopy Supracervical Hysterectomy 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $4,993.00 / $10,247.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $36,032.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,902.80 / $22,411.02 / $40,205.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $5,424.00 / $10,247.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.91 / $718.91 / $1,036.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00