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Utah rates for HCPCS 43620

Gstrct Tot W/Esophagoenterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,611.60 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.66 / $2,611.60 / $5,678.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.83 / $2,715.55 / $3,792.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.67 / $1,438.10 / $1,920.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,581.75 / $3,261.57 / $4,149.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.69 / $2,373.48 / $3,820.74