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Pennsylvania rates for HCPCS 43289

Unlisted laparoscopy procedure, esophagus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.00 / $3,839.00 / $8,104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.60 / $1,917.60 / $2,843.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,249.45 / $64,999.35 / $64,999.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.00 / $800.00 / $2,269.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,504.25 / $4,504.25 / $4,504.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,249.45 / $55,249.45 / $55,249.45
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $183.50 / $183.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,068.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.00 / $1,641.00 / $5,823.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.00 / $800.00 / $2,269.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.00 / $4,504.25 / $4,504.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $3,879.00 / $7,000.00