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Pennsylvania rates for HCPCS 43279

Laps Esophagomyotomy W/Fundoplasty If Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.19 / $5,526.00 / $18,085.55
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$143.09 / $143.09 / $143.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,865.93 / $2,865.93 / $2,865.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,172.72 / $5,957.44 / $17,450.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.34 / $5,350.00 / $16,280.84
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$143.09 / $143.09 / $143.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.70 / $1,252.70 / $1,253.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.00 / $4,563.00 / $7,000.00