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Washington, DC rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,162.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.88 / $154.02 / $154.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.26 / $149.10 / $1,046.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.94 / $235.33 / $448.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.38 / $144.61 / $300.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.64 / $194.49 / $364.79