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Pennsylvania rates for HCPCS 43360

Gi Rcnstj Prev Esphg/Exclusion W/Stomach

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
$2,085.01 / $2,296.46 / $2,884.91
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
$2,220.69 / $2,304.48 / $2,304.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,543.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.35 / $2,758.72 / $4,721.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,958.21 / $4,958.21 / $4,958.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,667.97 / $3,400.67 / $4,439.49
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
$1,956.66 / $2,360.44 / $5,958.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.00 / $2,194.00 / $2,194.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $2,814.50 / $5,531.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,543.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,958.35 / $2,729.43 / $4,721.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,175.91 / $2,175.91 / $2,178.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.16 / $2,178.78 / $2,281.21
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
$1,990.24 / $2,649.54 / $4,337.67