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Texas 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
$945.00 / $3,682.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.55 / $2,622.13 / $3,886.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.34 / $2,932.81 / $4,096.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,285.57 / $2,285.57 / $2,377.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,277.00 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.52 / $3,379.40 / $5,227.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $45,948.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,006.88 / $18,414.96 / $21,981.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,427.90 / $3,036.84 / $5,277.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,861.68 / $3,807.28 / $4,479.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,273.92 / $2,715.86 / $4,933.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,431.15 / $3,053.87 / $5,795.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,525.06 / $3,571.84 / $6,327.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.39 / $2,818.18 / $4,388.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,123.79 / $2,467.98 / $3,328.37