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Pennsylvania rates for HCPCS 43249

Egd Balloon Dilation Esophagus <30 Mm Diam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,329.98 / $5,668.08
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$79.51 / $79.51 / $617.91
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$31.80 / $31.80 / $247.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.96 / $241.13 / $1,235.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.48 / $164.91 / $857.77
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,298.89 / $3,148.48 / $13,170.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.53 / $1,017.53 / $1,904.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.00 / $1,235.59 / $2,434.58
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$206.22 / $206.22 / $206.22
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$51.55 / $51.55 / $51.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.13 / $298.10 / $1,768.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.72 / $334.72 / $334.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.50 / $1,209.89 / $1,718.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.19 / $3,750.87 / $6,869.81
Highmark BCBS
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$4,380.59 / $4,380.59 / $4,380.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.44 / $194.22 / $296.39
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.66 / $3,001.19 / $10,615.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.70 / $2,664.47 / $6,155.00
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$79.51 / $79.51 / $617.91
Martin's Point
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$31.80 / $31.80 / $247.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.36 / $334.60 / $1,779.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.23 / $305.60 / $2,470.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.77 / $1,225.90 / $2,316.65
Priority Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$206.22 / $206.22 / $206.22
Priority Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$51.55 / $51.55 / $51.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.38 / $299.48 / $1,721.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.34 / $182.29 / $1,039.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.34 / $304.02 / $1,136.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.52 / $1,109.13 / $1,978.14