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Oregon rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,116.62 / $6,064.02 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.80 / $3,784.84 / $10,536.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.70 / $1,664.70 / $1,664.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,836.24 / $5,397.84 / $7,796.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,390.33 / $5,764.90 / $7,009.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,699.92 / $4,949.09 / $7,942.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,352.85 / $5,089.91 / $8,289.84
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,797.06 / $5,348.22 / $5,654.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,700.40 / $5,680.47 / $7,942.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,715.74 / $6,097.18 / $7,980.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,852.84 / $14,852.84 / $14,852.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,166.87 / $6,586.64 / $7,959.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.00 / $7,664.00 / $31,303.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,223.31 / $5,775.29 / $8,768.33