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Georgia rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.79 / $3,391.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.51 / $155.35 / $393.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $1,825.00 / $4,819.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.12 / $258.13 / $438.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.75 / $331.75 / $331.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $123.00 / $123.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.00 / $535.00 / $1,091.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.40 / $269.17 / $463.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.06 / $170.38 / $849.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $398.30 / $460.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $2,307.00 / $5,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.71 / $237.02 / $365.82