go back

Pennsylvania rates for HCPCS 43328

Esopg/Gstr Fundoplasty W/Thoracotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.91 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.31 / $1,148.38 / $1,441.67
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
$1,108.88 / $1,600.77 / $2,543.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.22 / $1,516.43 / $2,479.85
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.78 / $2,476.78 / $2,476.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.68 / $1,699.31 / $2,217.28
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
$1,001.47 / $1,181.74 / $3,727.31
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.50 / $1,236.50 / $1,236.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $1,448.30 / $2,770.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.10 / $1,484.80 / $2,532.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.65 / $1,087.65 / $1,308.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.68 / $1,107.15 / $1,308.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $2,020.00 / $6,228.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.30 / $1,434.51 / $2,235.65