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Pennsylvania rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,894.00 / $9,534.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $7,463.00 / $11,048.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,321.26 / $13,107.68 / $27,701.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,470.00 / $9,815.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.63 / $755.23 / $755.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00