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Pennsylvania rates for HCPCS 58546

Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.10 / $5,342.00 / $12,400.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.60 / $1,126.33 / $4,758.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.91 / $1,558.94 / $2,074.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.08 / $1,445.92 / $2,253.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.09 / $1,744.34 / $1,744.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,433.20 / $22,173.45 / $35,011.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,958.00 / $12,474.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.18 / $1,312.71 / $4,761.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,324.90 / $2,798.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.53 / $1,449.68 / $2,490.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.63 / $1,097.63 / $1,170.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.40 / $1,107.91 / $1,170.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.88 / $1,398.33 / $2,265.12