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New York rates for HCPCS 43130

Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.10 / $4,905.00 / $11,396.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $6,992.00 / $12,173.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.51 / $1,110.51 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.44 / $902.44 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $787.50 / $2,085.01
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.07 / $740.07 / $1,522.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $902.44 / $7,771.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,547.00 / $13,746.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.24 / $950.24 / $3,177.66