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Florida rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $4,790.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,523.64 / $2,815.03 / $3,922.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $500.00 / $8,803.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.66 / $3,668.32 / $5,601.97
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.64 / $2,327.73 / $3,479.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.27 / $2,664.35 / $3,999.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.94 / $4,367.00 / $11,244.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,183.34 / $3,090.04 / $5,751.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.04 / $2,160.04 / $2,160.04