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Pennsylvania rates for HCPCS 43214

Esophagoscopy Dilate Esophagus Balloon 30 Mm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $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
$429.37 / $429.37 / $429.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,120.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.88 / $1,225.90 / $3,025.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.43 / $188.43 / $219.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.00 / $1,689.00 / $3,742.00