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Hawaii rates for HCPCS 43112

Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,471.46 / $2,737.82 / $4,045.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,666.04 / $3,965.48 / $8,518.87
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,368.35 / $4,907.97 / $5,644.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,362.72 / $3,806.86 / $4,441.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,936.84 / $3,965.48 / $5,611.07
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,985.17 / $4,460.20