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Utah rates for HCPCS 43325

Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,737.80 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,884.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,238.72 / $2,884.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,511.89 / $3,467.37
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,041.74 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $2,398.83