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Pennsylvania rates for HCPCS 58920

Wedge resection or bisection of ovary, unilateral or bilateral

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
$591.17 / $679.16 / $1,095.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $7,463.00 / $11,048.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.14 / $740.05 / $1,203.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.77 / $910.08 / $1,443.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.73 / $1,121.58 / $1,121.58
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
$622.14 / $770.06 / $2,172.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $562.50 / $1,815.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.31 / $921.60 / $1,510.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.15 / $704.77 / $704.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.15 / $704.77 / $741.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.79 / $902.81 / $1,432.77