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Pennsylvania rates for HCPCS 45342

Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)

Facilitymedian $2,630 · 10th–90th $479–$8,3180%5%10th90th$2,630$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $2,691.53 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,466.84 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $912.01 / $1,778.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,122.02 / $1,122.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,511.89 / $7,413.10
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,819.70 / $6,606.93
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $234.42 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,398.83 / $4,265.80