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Hawaii rates for HCPCS 43360

Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.17 / $2,169.76 / $2,819.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,303.42 / $2,625.73 / $5,500.51
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,081.90 / $3,462.60 / $3,981.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,226.61 / $2,520.69 / $2,940.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,118.06 / $2,706.41 / $3,912.70
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,181.17 / $3,541.34