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Pennsylvania rates for HCPCS 43284

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $6,025.60 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $707.95 / $1,621.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $676.08 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,122.02 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $812.83 / $1,380.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,258.93
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $724.44 / $1,122.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $25,118.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,248.07 / $9,549.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $2,089.30
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,174.90 / $1,659.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $724.44 / $912.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,011.87 / $30,902.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,202.26