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Illinois rates for HCPCS 43201

Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $1,862.09 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,398.83 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,698.24 / $2,754.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $416.87 / $1,348.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,238.72 / $4,786.30