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Pennsylvania rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $4,894.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.02 / $771.74 / $1,256.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.23 / $1,486.23 / $1,486.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.84 / $1,278.60 / $1,545.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.65 / $1,067.35 / $1,671.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.04 / $1,276.29 / $1,276.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,991.18 / $21,991.18 / $21,991.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $5,350.00 / $9,900.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.42 / $958.54 / $2,426.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $6.00 / $2,052.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.17 / $1,089.52 / $1,895.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.60 / $801.60 / $897.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.44 / $808.30 / $897.84
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
$815.58 / $1,026.84 / $1,647.82