go back

Pennsylvania rates for HCPCS 43201

Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,691.53 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $794.33 / $2,398.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $19,498.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,344.23 / $7,762.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $562.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $346.74 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $2,398.83 / $6,025.60