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Pennsylvania rates for HCPCS 58605

Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.55 / $332.97 / $526.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.19 / $589.19 / $589.19
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
$336.40 / $349.10 / $349.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.27 / $433.48 / $683.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.28 / $530.69 / $530.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.43 / $374.67 / $901.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $300.50 / $862.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.29 / $434.04 / $714.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.09 / $332.09 / $347.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.73 / $333.94 / $350.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.43 / $434.78 / $654.29