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Pennsylvania rates for HCPCS 43313

Esphgp Cgen Dfct Thrc Appr W/O Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.89 / $2,886.93 / $3,746.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,899.32 / $3,008.73 / $3,008.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $3,301.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,471.17 / $3,517.14 / $6,114.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,507.61 / $6,507.61 / $6,507.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,501.55 / $4,479.54 / $5,809.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.55 / $3,002.40 / $5,958.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.10 / $3,014.10 / $3,014.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $3,707.40 / $7,267.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $3,301.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.07 / $3,485.49 / $5,953.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,588.78 / $2,830.88 / $2,830.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,588.78 / $2,830.88 / $2,978.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.71 / $3,219.37 / $5,264.44