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Pennsylvania rates for HCPCS 43425

Closure of esophagostomy or fistula; transthoracic or transabdominal 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
$1,338.02 / $1,426.15 / $1,850.45
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
$1,427.40 / $1,481.26 / $1,481.26
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
$1,244.38 / $1,762.46 / $3,029.69
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,192.46 / $3,192.46 / $3,192.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.86 / $2,193.92 / $2,857.41
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
$1,287.21 / $1,519.67 / $4,573.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.60 / $1,345.60 / $1,345.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $1,727.40 / $3,564.30
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
$1,252.17 / $1,750.57 / $3,029.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.26 / $1,397.26 / $1,397.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.26 / $1,397.26 / $1,466.93
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
$1,252.17 / $1,697.92 / $2,910.73