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Florida rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $3,311.31 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $162.18 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $426.58 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $407.38
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $5,754.40 / $11,481.54
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $144.54 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $3,311.31 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $177.83 / $302.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $123.03