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Pennsylvania rates for HCPCS 43196

Esophagoscopy Rig Transoral Guide Wire Dilation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $2,747.00 / $8,104.00
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 / $1,235.59 / $2,760.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.73 / $435.73 / $435.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,469.28 / $4,469.28 / $4,469.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,389.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.19 / $1,225.90 / $3,025.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.81 / $190.81 / $218.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,493.00 / $6,041.84