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California rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $181.97 / $724.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $354.81 / $549.54
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,258.93 / $5,754.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $208.93 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,023.29 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $234.42 / $407.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $281.84 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $19,498.45 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $213.80 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $389.05
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $389.05 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,168.69 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $181.97 / $323.59