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Pennsylvania rates for HCPCS 43107

Tot Esophagectomy W/O Thorcom W/Wo Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $3,839.00 / $8,113.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $3,362.99
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,563.11 / $6,563.11 / $6,563.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.90 / $2,231.90 / $2,231.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $3,362.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,552.44 / $2,883.11 / $2,883.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00