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Georgia 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
$2,819.21 / $5,063.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.65 / $3,154.34 / $5,839.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.00 / $4,803.35 / $17,272.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,622.94 / $4,035.42 / $7,149.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,089.44 / $4,089.44 / $4,089.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,648.42 / $2,648.42 / $2,648.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $617.00 / $1,233.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.64 / $4,375.00 / $6,917.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,786.56 / $3,622.53 / $6,523.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $5,020.50 / $7,009.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $2,907.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,614.91 / $3,792.84 / $6,574.75