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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
$831.76 / $5,754.40 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $501.19 / $870.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,786.30 / $8,511.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $478.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $295.12 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,884.03 / $6,918.31