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Pennsylvania rates for HCPCS 43848

Revision Open Gastric Restrictive Px Not Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $3,964.00 / $8,247.00
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 / $2,207.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,333.14 / $4,333.14 / $4,333.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,427.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.70 / $1,771.70 / $1,771.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,207.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.64 / $1,890.07 / $1,890.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00