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Pennsylvania rates for HCPCS 58800

Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.41 / $3,623.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.86 / $317.10 / $497.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $5,951.00 / $8,887.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.33 / $370.81 / $583.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.39 / $406.43 / $663.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.17 / $569.10 / $569.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.79 / $334.75 / $647.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $395.80 / $952.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.73 / $422.71 / $668.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.48 / $314.32 / $356.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.48 / $334.08 / $378.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.52 / $400.11 / $686.92