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New York rates for HCPCS 43425

Closure of esophagostomy or fistula; transthoracic or transabdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.69 / $3,237.36 / $10,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.79 / $1,695.15 / $2,870.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,869.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.67 / $1,461.23 / $3,350.64
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.74 / $2,016.74 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.74 / $2,016.74 / $2,016.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.92 / $1,630.92 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.05 / $2,208.56 / $5,263.79
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,955.00 / $3,821.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.69 / $1,962.12 / $2,938.47
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.78 / $1,316.78 / $1,316.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.16 / $1,687.00 / $2,618.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,630.92 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.13 / $2,130.09 / $4,905.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $4,194.00 / $9,020.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.35 / $1,654.84 / $3,928.56
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,687.00 / $1,687.00 / $5,258.75
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.58 / $1,892.04 / $3,586.42