go back

Arizona rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,736.07 / $6,060.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.74 / $139.79 / $302.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,541.29 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.86 / $156.41 / $181.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.00 / $971.62 / $1,591.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.74 / $207.15 / $339.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.57 / $203.15 / $1,900.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.21 / $215.64 / $1,865.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,517.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.69 / $196.48 / $308.24