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Pennsylvania 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 $5,370 · 10th–90th $1,000–$8,5110%10%20%10th90th$5,370Professionalmedian $4,786 · 10th–90th $3,890–$8,7100%20%40%10th90th$4,786$20.0$100.0$500.0$2.0K$10.0K$50.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $5,754.40 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,677.35 / $7,762.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,760.83 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $794.33 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,897.79 / $8,912.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,549.93
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,165.95 / $8,511.38
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $4,677.35 / $7,244.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $4,265.80 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,677.35 / $7,079.46
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $7,943.28 / $10,000.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,570.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,466.84 / $4,570.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $2,290.87 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,897.79 / $8,709.64