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Pennsylvania rates for HCPCS 43210

Egd Partial/Compl Esophagogastric Fundoplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,839.00 / $9,534.00
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
$491.00 / $5,647.00 / $19,665.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.75 / $941.75 / $941.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,469.29 / $28,275.47 / $36,649.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $2,109.00 / $18,712.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.66 / $416.66 / $479.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.00 / $3,331.00 / $6,000.00