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Indiana 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
$2,318.00 / $2,701.03 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,346.46 / $2,545.10 / $3,417.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $16,821.03 / $25,253.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.32 / $2,437.90 / $3,364.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,295.88 / $2,926.12 / $3,376.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.86 / $2,588.48 / $3,376.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $2,910.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,265.80 / $3,083.35 / $5,224.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.17 / $2,765.20 / $4,691.81