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Pennsylvania rates for HCPCS C1748

Endoscope, single-use (i.e. disposable), upper GI, imaging/illumination device (insertable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,505.01 / $12,171.51 / $12,171.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.58 / $1,545.58 / $1,545.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.66 / $660.66 / $660.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,505.01 / $12,171.51 / $12,171.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.58 / $1,545.58 / $1,545.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.66 / $660.66 / $660.66