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Pennsylvania rates for HCPCS 58700

Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $4,736.92 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $4,993.00 / $9,617.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.99 / $786.99 / $811.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,198.00 / $5,762.00