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Pennsylvania rates for HCPCS 43351

Esophagostomy, fistulization of esophagus, external; thoracic approach

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
$1,212.47 / $1,338.46 / $1,689.67
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
$1,308.39 / $1,357.76 / $1,357.76
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
$1,173.57 / $1,613.20 / $2,773.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,932.97 / $2,932.97 / $2,932.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.12 / $2,020.85 / $2,623.86
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
$1,155.86 / $1,378.90 / $4,400.43
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $1,139.00 / $1,139.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $1,525.20 / $3,277.30
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
$1,200.00 / $1,604.63 / $2,773.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.13 / $1,277.96 / $1,277.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.13 / $1,277.96 / $1,344.08
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
$1,126.83 / $1,535.73 / $2,648.96