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Pennsylvania rates for HCPCS 58662

Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $7,345.00 / $17,099.88
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,970.81 / $5,438.28 / $66,947.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,800.00 / $11,479.00 / $17,952.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,161.15 / $11,892.20 / $26,151.44
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,931.23 / $3,931.23 / $26,151.44
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,653.13 / $5,538.98 / $19,769.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $7,142.53 / $17,775.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.75 / $700.75 / $720.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00