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West Virginia 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
$1,400.00 / $3,321.01 / $5,064.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,427.44 / $3,922.24 / $4,273.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,677.58 / $3,677.58 / $3,677.58
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,244.61 / $2,244.61 / $2,244.61