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Utah rates for HCPCS 43124

Tot/Prtl Esphg W/O Rcnstj W/Crv Esophagostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $5,360.75 / $5,360.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,433.78 / $5,034.97 / $10,793.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,254.12 / $5,314.31 / $7,886.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.73 / $2,458.81 / $3,558.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,886.30 / $6,468.79 / $8,231.20
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
$3,333.06 / $4,111.64 / $7,295.63