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Pennsylvania rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $4,894.00 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.91 / $748.87 / $987.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.96 / $1,108.34 / $1,473.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.12 / $1,030.72 / $1,601.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.49 / $1,242.28 / $1,242.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80,737.25 / $80,737.25 / $80,737.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $5,350.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.75 / $827.59 / $4,174.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $988.50 / $1,996.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.75 / $1,033.39 / $1,811.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.92 / $781.92 / $836.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.93 / $788.97 / $836.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.92 / $1,001.64 / $1,612.24