go back

Arizona rates for HCPCS 43117

Prtl Esophect Dstl W/Wo Prox Gastrect/Pylorplsty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,453.00 / $3,343.65 / $5,957.77
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$4,913.04 / $9,144.40 / $9,144.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00