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Pennsylvania rates for HCPCS 43233

Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,548.13 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,230.27 / $2,454.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $4,265.80 / $8,511.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,691.53 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $269.15 / $457.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $218.78 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $2,398.83 / $6,025.60