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Pennsylvania rates for HCPCS 58805

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,745.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.40 / $406.27 / $529.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.01 / $442.09 / $442.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $529.69 / $850.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.65 / $673.34 / $673.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.06 / $419.84 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $500.30 / $1,100.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.76 / $538.04 / $868.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.78 / $421.78 / $536.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.16 / $423.55 / $536.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.67 / $502.56 / $821.59