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Pennsylvania rates for HCPCS 43420

Closure of esophagostomy or fistula; cervical approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.17 / $1,014.43 / $1,307.68
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.93 / $1,056.33 / $1,056.33
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
$870.48 / $1,240.63 / $2,124.87
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,265.59 / $2,265.59 / $2,265.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.89 / $1,587.23 / $2,031.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.87 / $1,068.08 / $3,435.93
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.10 / $913.10 / $913.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,107.09 / $2,566.80
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
$875.29 / $1,240.63 / $2,124.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.46 / $1,000.53 / $1,000.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.46 / $1,000.53 / $1,052.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $3,399.00 / $10,329.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.66 / $1,177.72 / $2,021.94