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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,492.55 / $3,405.09 / $7,277.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.36 / $3,935.57 / $4,745.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.00 / $4,358.52 / $7,714.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,105.89 / $4,354.74 / $4,976.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,460.36 / $4,353.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,329.95 / $5,027.46 / $5,112.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,720.51 / $3,421.03 / $5,503.37