go back

Pennsylvania rates for HCPCS 42955

Pharyngostomy Fstlj Pharynx Xtrnl Feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.48 / $769.87 / $957.45
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
$743.06 / $771.10 / $771.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.00 / $939.95 / $1,869.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.85 / $928.63 / $1,529.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.37 / $1,689.37 / $1,689.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.77 / $1,184.43 / $1,513.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.48 / $813.20 / $3,153.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.79 / $608.79 / $608.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $727.00 / $2,004.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $932.58 / $1,869.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.03 / $915.89 / $1,547.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.48 / $740.23 / $740.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.48 / $740.23 / $791.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.76 / $865.86 / $1,486.54