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Pennsylvania rates for HCPCS 43257

Egd Deliver Thermal Energy Sphnctr/Cardia Gerd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $3,745.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $2,019.00 / $6,571.35
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.76 / $504.76 / $504.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.33 / $1,657.00 / $6,253.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.23 / $224.23 / $251.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,715.00 / $4,815.00