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North Dakota 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
$2,492.55 / $2,492.55 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,262.44 / $2,492.55 / $3,279.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,058.34 / $5,564.43 / $6,524.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,893.12 / $4,941.84 / $7,363.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.46 / $3,240.32 / $5,419.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,413.27 / $4,572.58 / $18,414.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,259.81 / $4,572.58 / $6,395.75