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Iowa rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,964.00 / $6,066.00 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.64 / $3,784.84 / $14,571.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,096.50 / $5,946.09 / $7,544.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,619.17 / $4,107.55 / $8,961.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,971.67 / $5,167.97 / $7,759.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,932.27 / $5,998.51 / $20,305.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,259.42 / $6,157.15 / $8,326.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,286.59 / $5,998.51 / $7,544.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,374.37 / $5,051.89 / $5,944.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,966.00 / $6,110.41 / $7,407.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,945.33 / $4,860.59 / $8,716.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,289.07 / $5,429.20 / $6,387.30