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Pennsylvania rates for HCPCS 43405

Lig/Stapling G-Esop Junct Pre-Esophgl Prf8j

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
$1,341.61 / $1,477.08 / $1,869.67
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
$1,444.74 / $1,499.26 / $1,499.26
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
$1,220.44 / $1,780.08 / $3,052.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.76 / $3,235.76 / $3,235.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.33 / $2,227.29 / $2,895.34
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
$1,275.79 / $1,521.50 / $4,855.97
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.40 / $1,261.40 / $1,261.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,727.30 / $3,615.00
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
$1,227.52 / $1,771.85 / $3,052.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.92 / $1,413.05 / $1,413.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.92 / $1,413.05 / $1,485.20
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
$1,249.73 / $1,707.62 / $2,801.44