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Pennsylvania rates for HCPCS 43130

Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $4,894.00 / $10,247.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,151.00 / $8,051.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,773.16 / $1,773.16 / $1,773.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.85 / $5,350.00 / $10,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.20 / $1,006.20 / $1,006.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,109.00 / $7,820.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.37 / $777.37 / $913.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $3,879.00 / $7,000.00