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Wisconsin 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
$3,376.88 / $6,271.96 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,908.00 / $18,360.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,838.84 / $9,160.31 / $14,052.15
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,244.61 / $2,244.61 / $2,244.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,873.72 / $3,568.05 / $6,755.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.00 / $3,763.18 / $8,362.62
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$9,144.40 / $9,144.40 / $9,144.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,870.35 / $3,568.05 / $6,755.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,799.00 / $7,733.93 / $12,702.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,677.58 / $59,160.16 / $59,160.16
Quartz
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,244.61 / $9,144.40 / $9,144.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00