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Pennsylvania rates for HCPCS 43400

Ligation Direct Esophageal Varices

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
$1,405.48 / $1,525.40 / $1,971.61
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
$1,522.21 / $1,579.66 / $1,579.66
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
$1,300.99 / $1,858.95 / $3,183.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,415.48 / $3,415.48 / $3,415.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.01 / $2,350.07 / $3,049.15
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
$1,341.42 / $1,600.64 / $5,135.97
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.09 / $1,211.09 / $1,211.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $1,631.60 / $3,824.20
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
$1,313.35 / $1,842.03 / $3,183.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.78 / $1,489.53 / $1,489.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.78 / $1,489.53 / $1,567.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.00 / $4,563.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.83 / $1,799.90 / $3,090.13