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Pennsylvania rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $4,786.30 / $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
$457.09 / $1,230.27 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$549.54 / $549.54 / $549.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,456.54 / $9,772.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $4,168.69 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $323.59 / $537.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $2,398.83 / $6,025.60