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Utah rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,922.50 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.67 / $3,784.84 / $8,102.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,444.73 / $3,993.53 / $5,919.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.66 / $2,032.36 / $2,715.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,672.23 / $4,850.85 / $6,340.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $4,455.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,528.21 / $3,395.21 / $5,684.02