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Connecticut rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,250.85 / $7,629.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.67 / $3,784.84 / $7,173.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,897.58 / $13,227.00 / $22,259.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,582.80 / $6,059.56 / $7,656.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.82 / $4,094.53 / $8,343.39
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.58 / $886.65 / $1,945.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,221.99 / $4,307.37 / $5,792.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $4,896.00 / $14,963.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,574.05 / $4,311.78 / $10,529.87