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Pennsylvania rates for HCPCS 43825

Gastrojejunostomy; with vagotomy, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.50 / $1,309.72 / $1,697.80
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
$1,313.38 / $1,362.94 / $1,362.94
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
$1,120.26 / $1,591.90 / $2,726.48
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,949.45 / $2,949.45 / $2,949.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.91 / $2,031.16 / $2,632.38
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
$1,134.81 / $1,381.57 / $4,432.57
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.80 / $1,070.80 / $1,070.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,458.50 / $3,301.80
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
$1,124.55 / $1,591.90 / $2,726.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.00 / $1,283.47 / $1,283.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.00 / $1,283.47 / $1,351.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.51 / $1,517.68 / $2,616.34