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Pennsylvania rates for HCPCS 43647

Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,748.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.17 / $604.54 / $726.64
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
$655.32 / $770.96 / $1,263.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $1,200.00 / $5,647.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.75 / $781.62 / $1,366.69
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.92 / $2,140.92 / $2,140.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.58 / $1,406.04 / $1,993.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.17 / $637.32 / $1,749.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $1,200.00 / $5,647.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.75 / $780.11 / $1,300.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.42 / $726.42 / $752.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.55 / $726.42 / $934.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,591.00 / $7,000.00 / $11,238.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.61 / $930.54 / $1,488.01