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Ohio rates for HCPCS 43130

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

Facilitymedian $6,166 · 10th–90th $1,230–$12,8820%10%10th90th$6,166$50.0$200.0$1.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $7,079.46 / $12,022.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $4,265.80 / $16,982.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $831.76 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $1,348.96 / $4,265.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,348.96 / $5,888.44
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $7,244.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $6,025.60 / $13,489.63