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Delaware rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.58 / $133.47 / $211.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.10 / $948.10 / $1,404.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.35 / $209.69 / $277.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.34 / $202.83 / $308.14