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Pennsylvania rates for HCPCS 43314

Esphgp Cgen Dfct Thrc Appr W/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
$2,650.39 / $3,100.95 / $7,152.80
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
$3,102.73 / $3,219.81 / $3,219.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $3,539.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,661.59 / $3,717.42 / $6,304.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,952.89 / $6,952.89 / $6,952.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,707.84 / $4,776.34 / $6,208.20
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
$2,628.73 / $3,224.98 / $7,691.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $3,953.00 / $7,777.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $3,539.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,662.46 / $3,702.88 / $6,304.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,847.03 / $3,036.76 / $3,036.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,847.03 / $3,036.76 / $3,191.44
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
$2,643.98 / $3,478.46 / $5,770.26