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Minnesota rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,499.80 / $2,499.80 / $2,499.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.80 / $2,769.26 / $4,591.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.97 / $3,144.69 / $21,273.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,801.22 / $8,162.38 / $9,899.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,814.75 / $9,075.32 / $21,831.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,567.75 / $8,247.90 / $11,329.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,038.99 / $8,281.82 / $17,190.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,567.75 / $7,518.28 / $10,358.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,435.85 / $4,073.12 / $7,794.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,138.01 / $6,411.85 / $20,305.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $2,260.00 / $5,379.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,110.70 / $5,860.61 / $10,945.21