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Pennsylvania rates for HCPCS 43510

Gstrt W/Esophgl Dilat&Insj Prm Intral Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.69 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.68 / $948.41 / $1,228.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.33 / $989.31 / $1,523.51
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
$809.22 / $1,156.31 / $1,934.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,145.36 / $2,145.36 / $2,145.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.07 / $1,481.70 / $1,914.66
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
$842.05 / $1,005.91 / $3,223.61
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $796.00 / $796.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,054.00 / $2,404.10
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
$814.17 / $1,144.93 / $1,934.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.45 / $930.10 / $930.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.45 / $930.10 / $980.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.84 / $1,079.73 / $1,842.72