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Virginia rates for HCPCS 43107

Tot Esophagectomy W/O Thorcom W/Wo Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,372.00 / $5,119.22 / $9,923.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,807.00 / $17,284.09 / $24,194.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $3,362.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,693.01 / $3,326.66 / $4,321.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,858.00 / $3,646.23 / $5,508.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.65 / $3,340.72 / $6,259.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $2,397.00 / $5,202.00