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Oklahoma rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,613.69 / $3,057.05 / $3,654.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,213.95 / $3,882.77 / $4,915.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,486.23 / $3,707.35 / $4,734.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.87 / $3,362.76 / $5,844.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.61 / $3,436.87 / $20,305.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $2,654.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,420.48 / $3,138.01 / $4,755.43