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Delaware rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,522.19 / $2,531.13 / $3,125.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $2,151.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,158.84 / $2,891.92 / $4,337.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.00 / $960.00 / $960.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,173.73 / $2,581.31 / $5,841.92