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Utah 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
$3,162.28 / $3,467.37 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,754.23 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $3,388.44 / $5,370.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,265.80 / $6,165.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $4,677.35 / $5,754.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,715.35 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $4,466.84