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Virginia rates for HCPCS 43121

Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,209.71 / $5,048.00 / $9,541.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,661.98 / $3,209.71 / $3,920.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,807.00 / $17,284.09 / $24,194.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,537.14 / $3,305.91 / $4,628.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,107.19 / $3,210.40 / $6,260.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $3,227.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.10 / $3,417.91 / $6,109.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,573.44 / $3,178.96 / $4,808.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.56 / $3,611.63 / $5,424.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,292.00 / $4,009.00 / $6,474.94
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,195.39 / $3,431.71 / $6,150.06
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,195.39 / $3,431.71 / $6,150.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $2,945.00 / $5,445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.03 / $3,063.49 / $5,634.19