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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

Facilitymedian $7,244 · 10th–90th $1,778–$18,6210%5%10th90th$7,244$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $7,244.36 / $18,197.01
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,760.83 / $81,283.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $12,589.25 / $24,547.09
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $12,302.69
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,495.41 / $39,810.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $4,897.79 / $15,848.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,309.57 / $19,498.45