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Pennsylvania rates for HCPCS 43632

Gstrct Prtl Dstl W/Gastrojejunostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $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 / $2,318.78
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$227.05 / $227.05 / $227.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,554.17 / $4,554.17 / $4,554.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.50 / $1,388.50 / $1,388.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,318.78
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$227.05 / $227.05 / $227.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.21 / $1,989.15 / $1,989.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00