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Pennsylvania rates for HCPCS 47741

Cholecstontrstm Roux-En-Y W/Gastrontrstm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.54 / $1,475.94 / $1,908.82
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
$1,473.94 / $1,529.56 / $1,529.56
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
$1,261.57 / $1,793.74 / $3,072.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.34 / $3,311.34 / $3,311.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.13 / $2,281.89 / $2,955.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.50 / $1,547.40 / $5,002.09
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.80 / $1,352.80 / $1,352.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,848.50 / $3,727.50
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
$1,267.29 / $1,793.74 / $3,072.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.76 / $1,443.72 / $1,443.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.76 / $1,443.72 / $1,520.62
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
$1,270.27 / $1,690.42 / $2,841.60