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Pennsylvania rates for HCPCS 43500

Gastrotomy W/Exploration/Foreign Body Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.96 / $3,839.00 / $8,113.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.30 / $1,775.30 / $1,775.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.96 / $4,761.00 / $8,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.90 / $623.90 / $623.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.04 / $767.08 / $767.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00