go back

Virginia rates for HCPCS 43287

Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie, laparoscopic thoracoscopic esophagectomy, Ivor Lewis esophagectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,991.00 / $7,849.00 / $16,589.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,525.00 / $11,065.00 / $12,418.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $4,013.89
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,448.96 / $2,448.96 / $2,448.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$391.83 / $391.83 / $391.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,206.68 / $3,928.12 / $4,844.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,661.61 / $4,821.54 / $6,870.83
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$665.59 / $681.34 / $1,006.16
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,655.28 / $4,659.91 / $7,806.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $2,397.00 / $5,202.00