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California rates for HCPCS 43425

Closure of esophagostomy or fistula; transthoracic or transabdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.25 / $9,674.00 / $22,788.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.21 / $1,496.53 / $7,374.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $11,780.00 / $23,711.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.91 / $1,899.10 / $3,885.75
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $5,487.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.12 / $1,470.49 / $3,464.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.00 / $766.00 / $5,431.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.87 / $1,789.45 / $3,910.79
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.98 / $1,464.84 / $1,963.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.33 / $1,686.24 / $3,102.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $25,656.96 / $26,294.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,060.71 / $10,307.12 / $12,263.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.99 / $1,697.65 / $2,425.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.87 / $1,870.55 / $3,818.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,575.57 / $4,575.57 / $4,575.57
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.98 / $1,393.45 / $1,742.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.00 / $4,820.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.72 / $1,602.65 / $4,127.35