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Idaho rates for HCPCS 43117

Prtl Esophect Dstl W/Wo Prox Gastrect/Pylorplsty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,978.88 / $5,040.89 / $9,786.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00