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Pennsylvania rates for HCPCS 43135

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.83 / $1,485.51 / $1,886.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.13 / $1,506.92 / $1,506.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.92 / $1,749.99 / $3,087.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,242.90 / $3,242.90 / $3,242.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.13 / $2,224.23 / $2,903.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.42 / $1,524.06 / $4,867.52
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.60 / $1,315.60 / $1,315.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $1,728.00 / $3,617.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.92 / $1,735.73 / $3,087.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,422.97 / $1,422.97 / $1,597.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.85 / $1,448.83 / $1,597.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.22 / $1,746.61 / $2,833.94