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Utah 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
$3,090.30 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $3,019.95 / $4,786.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $5,128.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $5,128.61
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $4,073.80 / $5,754.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,311.31 / $4,570.88
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
$1,995.26 / $2,511.89 / $4,168.69