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Pennsylvania rates for HCPCS 43882

Revision/Rmvl Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.69 / $3,964.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.76 / $757.53 / $946.23
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
$633.26 / $745.01 / $1,221.42
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
$532.00 / $990.36 / $1,779.65
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
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
$621.76 / $787.21 / $2,398.83
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
$532.00 / $982.53 / $1,693.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.04 / $670.44 / $1,023.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.24 / $701.98 / $822.97
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
$631.78 / $949.12 / $1,619.38