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Pennsylvania 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
$1,301.00 / $3,839.00 / $8,113.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $3,677.58
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,244.61 / $2,244.61 / $2,244.61
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,182.23 / $7,182.23 / $7,182.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,347.00 / $2,347.00 / $2,347.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $3,677.58
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,244.61 / $2,244.61 / $2,244.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.18 / $3,148.72 / $3,148.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,217.44 / $2,217.44 / $2,217.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00