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Pennsylvania rates for HCPCS 58660

Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $6,165.95 / $10,715.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $10,964.78 / $26,302.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,248.07 / $10,715.19
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,380.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $691.83 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $18,620.87