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Pennsylvania rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.76 / $2,070.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.44 / $222.23 / $300.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.22 / $264.85 / $264.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.11 / $299.13 / $490.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.50 / $403.29 / $403.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.20 / $244.02 / $1,116.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $306.80 / $661.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.96 / $307.02 / $494.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.21 / $225.35 / $259.92
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.21 / $246.10 / $268.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $541.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.09 / $321.31 / $543.64