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Virginia rates for HCPCS 43288

Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyngogastrostomy or esophagogastrostomy (ie, thoracoscopic, laparoscopic and cervical incision esophagectomy, McKeown esophagectomy, tri-incisional esophagectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,991.00 / $6,827.70 / $16,589.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,541.53 / $4,236.97 / $5,312.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,525.00 / $11,065.00 / $12,418.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,458.67 / $4,356.01 / $6,304.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,290.72 / $4,350.20 / $8,482.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $4,232.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,538.97 / $4,894.32 / $8,521.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,385.88 / $4,148.22 / $5,116.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,849.36 / $5,086.82 / $7,160.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,812.00 / $5,457.41 / $8,508.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,815.73 / $4,864.46 / $8,221.85
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,815.73 / $4,864.46 / $8,221.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $2,397.00 / $5,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,121.06 / $4,724.21 / $7,338.40