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Alabama rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $960.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.06 / $167.06 / $267.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.48 / $1,545.43 / $2,079.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.44 / $279.43 / $341.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.41 / $215.28 / $508.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,754.00 / $3,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.56 / $150.60 / $304.00