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Pennsylvania rates for HCPCS 43195

Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $2,682.12 / $5,284.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.65 / $412.65 / $412.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,053.09 / $17,053.09 / $17,053.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,120.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.81 / $2,661.07 / $5,028.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.78 / $180.78 / $199.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,734.00 / $4,300.00