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Pennsylvania rates for HCPCS 43453

Dilation of esophagus, over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $1,819.00 / $7,197.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.00 / $2,838.15 / $8,459.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $1,113.00 / $2,434.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.83 / $190.83 / $190.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.00 / $1,978.00 / $7,799.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.80 / $109.80 / $109.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.88 / $795.00 / $2,316.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.65 / $176.63 / $771.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.00 / $2,523.00 / $6,105.67