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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
$394.00 / $3,836.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.67 / $145.77 / $215.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.61 / $861.35 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.29 / $210.60 / $384.19
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,979.00 / $5,611.00 / $11,030.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.84 / $168.31 / $249.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.57 / $108.01 / $184.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.00 / $3,514.00 / $7,044.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.95 / $182.22 / $297.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.64 / $102.64 / $102.64