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Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,526.21 / $2,732.37 / $3,435.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.00 / $3,321.63 / $6,988.01
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,731.96 / $4,192.97 / $4,821.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,816.74 / $3,188.76 / $3,720.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.93 / $3,496.64 / $4,635.06
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,453.52 / $3,665.84