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Pennsylvania rates for HCPCS 43254

Egd Transoral Endoscopic Mucosal Resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.55 / $3,994.00 / $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 / $2,434.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.09 / $586.09 / $586.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,784.01 / $6,860.26 / $12,994.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.86 / $3,839.00 / $8,017.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.10 / $308.10 / $308.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.25 / $1,225.90 / $2,316.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.63 / $260.63 / $313.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,734.00 / $4,300.00