go back

Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.26 / $3,784.84 / $8,102.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,096.50 / $4,402.10 / $5,308.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.06 / $4,844.60 / $8,588.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,515.24 / $4,788.89 / $5,473.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,806.89 / $4,789.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,780.89 / $5,593.39 / $5,687.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,815.54 / $4,017.60 / $6,256.09