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Texas rates for HCPCS 43117

Prtl Esophect Dstl W/Wo Prox Gastrect/Pylorplsty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,682.00 / $10,893.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.19 / $2,962.19 / $3,081.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,277.00 / $4,619.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,244.61 / $2,244.61 / $2,244.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $57,710.40
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$4,453.45 / $9,144.40 / $9,562.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,701.14 / $3,366.83 / $6,513.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.59 / $3,366.83 / $7,197.92
Providence
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,244.61 / $4,805.96 / $4,805.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00