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Utah rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $3,436.71 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.55 / $3,405.09 / $7,277.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,153.03 / $3,503.11 / $5,545.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.17 / $1,858.67 / $2,466.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,325.85 / $4,171.52 / $5,590.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,289.73 / $2,958.05 / $4,578.55