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Pennsylvania rates for HCPCS 43213

Esophagoscopy Retrograde Dilate Balloon/Other

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $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 / $1,235.59 / $2,760.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.50 / $566.50 / $566.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,077.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.76 / $1,225.90 / $3,025.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.03 / $303.16 / $1,287.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,734.00 / $4,300.00