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Indiana rates for HCPCS 43117

Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $3,394.86 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $16,821.03 / $25,253.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,829.05 / $3,677.77 / $4,243.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $3,677.58
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,244.61 / $2,244.61 / $2,244.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00