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Maryland 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
Professional
Modifier
Low / Median / High Price
$2,601.65 / $3,201.87 / $4,159.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,850.00 / $3,210.40 / $4,398.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $3,227.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,242.88 / $3,353.30 / $6,219.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,756.16 / $3,389.51 / $4,724.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.00 / $413.00 / $1,234.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.08 / $3,233.43 / $5,474.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.04 / $3,389.51 / $4,134.24