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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
$1,096.48 / $3,981.07 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,412.54 / $12,022.64
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $16,218.10 / $16,982.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,235.94 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $562.34 / $776.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $416.87 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $17,782.79