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Pennsylvania rates for HCPCS 43881

Implantation or replacement of gastric neurostimulator electrodes, antrum, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.05 / $3,964.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.12 / $682.03 / $838.03
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
$601.50 / $707.65 / $1,160.17
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
$525.07 / $866.27 / $1,576.12
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.04 / $1,903.04 / $1,903.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.29 / $1,249.79 / $1,772.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,542.82 / $2,542.82 / $2,542.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.59 / $693.09 / $2,126.66
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
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.07 / $848.37 / $1,500.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.80 / $638.03 / $798.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.80 / $666.77 / $798.22
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
$605.54 / $854.13 / $1,408.15