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Maine rates for HCPCS 43123

Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)

Facilitymedian $22,387 · 10th–90th $19,953$30,2000%20%10th90th$22,387Professionalmedian $5,495 · 10th–90th $4,266$10,7150%10%10th90th$5,495$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,128.61 / $9,120.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $22,387.21 / $30,199.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,760.83 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $6,165.95 / $10,232.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,918.31 / $12,022.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,128.61 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,456.54 / $11,748.98