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Rhode Island rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.67 / $2,732.37 / $4,250.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.15 / $3,702.63 / $5,583.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,263.15 / $4,385.25 / $6,543.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.00 / $3,539.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.23 / $3,676.19 / $5,927.45