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Arkansas rates for HCPCS 43204

Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.88 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.43 / $167.06 / $274.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.26 / $1,771.26 / $2,019.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.71 / $188.88 / $209.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $494.00 / $930.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.82 / $243.63 / $377.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $1,106.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.49 / $213.33 / $303.49