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Missouri 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
$1,760.00 / $4,261.00 / $12,174.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.65 / $2,956.61 / $4,245.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,358.00 / $12,405.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.35 / $3,365.08 / $5,441.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,242.88 / $3,797.28 / $5,945.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,214.00 / $3,557.14 / $7,102.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,689.72 / $5,178.07 / $20,305.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.00 / $2,849.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.29 / $3,964.20 / $7,029.74