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Maine 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
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,884.03 / $5,128.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $22,387.21 / $30,199.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,715.35 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,365.16 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,715.35 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,548.13 / $5,623.41