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Virginia 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
$884.59 / $5,412.00 / $11,425.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $902.44 / $3,282.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.00 / $903.52 / $1,337.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.79 / $1,046.31 / $1,533.56
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.86 / $1,014.74 / $1,851.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.00 / $10,466.00 / $21,401.00