go back

Arizona rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.86 / $2,581.10 / $4,009.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,595.19 / $2,965.94 / $3,447.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,208.19 / $2,952.49 / $5,565.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.14 / $2,779.30 / $4,884.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.31 / $2,900.43 / $18,414.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.09 / $2,689.57 / $5,170.16