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Arizona rates for HCPCS 43121

Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,547.44 / $2,882.25 / $4,236.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.34 / $3,259.82 / $3,789.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.55 / $3,185.69 / $6,184.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.37 / $2,936.05 / $5,496.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,475.13 / $3,214.60 / $20,305.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $2,661.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.81 / $3,011.04 / $5,480.40