go back

Connecticut rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,183.00 / $4,450.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.88 / $203.78 / $438.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,613.00 / $4,504.00 / $8,217.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.28 / $341.02 / $404.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.00 / $1,924.63 / $2,687.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.16 / $308.99 / $475.20
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.19 / $886.65 / $1,552.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.92 / $221.36 / $376.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.00 / $4,939.00 / $8,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.60 / $223.74 / $499.67