go back

Michigan 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
$3,663.17 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,547.44 / $3,251.62 / $3,663.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,499.52 / $15,523.57 / $20,808.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.85 / $2,928.78 / $4,844.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,096.50 / $3,399.93 / $6,781.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,107.88 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,841.25 / $3,161.14 / $4,522.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.61 / $2,418.33 / $3,651.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $3,869.00 / $5,525.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,724.86 / $3,786.84 / $4,802.84