go back

Hawaii rates for HCPCS 43122

Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,258.46 / $2,447.58 / $3,061.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,532.38 / $3,047.25 / $6,225.75
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,292.93 / $3,699.70 / $4,254.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,584.07 / $2,925.36 / $3,412.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,415.58 / $3,047.25 / $4,197.85
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,418.65 / $3,995.23