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Pennsylvania rates for HCPCS 43240

Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,077.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.62 / $1,865.00 / $11,861.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.04 / $847.04 / $847.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,167.02 / $16,167.02 / $16,862.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,480.00 / $8,017.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.80 / $476.80 / $476.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.62 / $1,403.00 / $11,287.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.81 / $377.81 / $416.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,715.00 / $4,815.00