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Pennsylvania rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,748.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.59 / $233.50 / $313.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $5,951.00 / $8,887.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.02 / $261.52 / $261.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.41 / $328.16 / $514.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.07 / $397.43 / $397.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.01 / $252.85 / $1,475.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $326.39 / $650.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.00 / $328.45 / $579.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.59 / $249.59 / $374.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.88 / $250.88 / $374.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.93 / $309.42 / $502.08