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Pennsylvania rates for HCPCS 44203

Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.44 / $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
$272.75 / $526.00 / $2,269.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.48 / $530.48 / $530.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,421.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.50 / $268.50 / $268.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.75 / $526.00 / $2,269.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.49 / $235.49 / $294.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $3,879.00 / $7,000.00