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Pennsylvania rates for HCPCS 58542

Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $6,477.00 / $14,041.65
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
$6,993.76 / $23,270.82 / $39,015.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,992.00 / $14,381.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.27 / $818.27 / $1,031.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.00 / $4,564.00 / $8,261.00