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Pennsylvania rates for HCPCS 58720

Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $5,495.41 / $9,549.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $9,332.54 / $25,118.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $4,897.79 / $9,549.93
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,548.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,365.16 / $7,079.46