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Maryland rates for HCPCS 43201

Esophagoscopy Flexible Transoral W Submucous Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,872.66 / $4,872.66 / $4,872.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $909.33 / $1,530.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.98 / $318.97 / $480.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00