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Texas rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,682.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.67 / $2,917.36 / $4,410.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,568.19 / $3,273.03 / $4,560.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.80 / $2,620.80 / $2,728.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,277.00 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,406.86 / $3,732.05 / $5,808.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $50,487.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,801.12 / $20,305.84 / $24,164.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.67 / $3,107.15 / $5,970.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,146.99 / $4,186.85 / $4,925.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,596.42 / $3,040.70 / $5,522.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.08 / $3,134.39 / $6,483.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,673.03 / $3,946.76 / $7,004.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $2,546.00 / $9,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,301.21 / $3,117.82 / $4,886.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.53 / $2,713.63 / $3,657.78