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Pennsylvania rates for HCPCS 48540

Int Anast Pancreatic Cyst Gi Tract Roux-En-Y

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
$1,152.59 / $1,306.78 / $1,693.25
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
$1,307.15 / $1,356.48 / $1,356.48
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
$1,121.91 / $1,593.64 / $2,729.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,933.49 / $2,933.49 / $2,933.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.81 / $2,018.39 / $2,618.28
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
$1,139.94 / $1,375.40 / $4,417.59
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.09 / $1,289.09 / $1,289.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,670.40 / $3,289.60
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
$1,123.81 / $1,589.75 / $2,729.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.03 / $1,279.41 / $1,279.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.60 / $1,279.41 / $1,346.19
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
$1,145.32 / $1,506.79 / $2,523.32