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Montana 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
$2,523.64 / $2,811.99 / $14,571.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,437.22 / $4,437.22 / $4,437.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.04 / $4,427.12 / $8,227.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.96 / $3,601.16 / $5,344.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,836.24 / $4,526.58 / $7,542.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,490.88 / $3,490.88 / $3,490.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,932.78 / $4,808.14 / $6,790.41