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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
$657.00 / $2,954.00 / $7,799.00
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
$500.62 / $500.62 / $500.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.64 / $4,292.85 / $10,570.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,032.00 / $8,017.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.70 / $255.70 / $255.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.07 / $1,225.90 / $3,025.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.85 / $220.85 / $260.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.00 / $1,728.00 / $3,742.00