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Pennsylvania rates for HCPCS 58822

Drainage of ovarian abscess; 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
$579.11 / $657.36 / $887.36
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
$629.29 / $967.55 / $1,395.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.04 / $912.77 / $1,444.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.67 / $1,122.84 / $1,122.84
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
$600.03 / $720.46 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $724.90 / $1,818.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.58 / $924.57 / $1,563.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.48 / $704.48 / $735.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.64 / $709.30 / $741.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.91 / $881.64 / $1,542.84