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Pennsylvania rates for HCPCS 43255

Egd Transoral Control Bleeding Any Method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.64 / $2,747.00 / $7,175.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$103.84 / $103.84 / $351.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.56 / $307.01 / $1,009.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.44 / $187.45 / $285.83
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
$585.77 / $607.87 / $607.87
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
$269.18 / $269.18 / $269.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $397.72 / $1,043.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.65 / $435.65 / $435.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.50 / $713.55 / $1,047.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,352.51 / $4,270.97 / $8,204.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.45 / $246.66 / $385.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,543.00 / $7,197.00
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$103.84 / $103.84 / $351.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.27 / $432.18 / $1,179.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.30 / $319.30 / $319.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.03 / $463.40 / $1,394.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.48 / $1,225.90 / $2,316.65
Priority Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$269.18 / $269.18 / $269.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.69 / $397.72 / $1,017.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.30 / $238.43 / $604.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.30 / $380.37 / $655.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.00 / $1,728.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.24 / $672.46 / $1,242.13