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Idaho rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.91 / $203.99 / $395.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.62 / $214.61 / $285.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.01 / $369.91 / $489.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.55 / $227.55 / $260.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $187.49 / $235.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,164.71 / $3,858.04 / $5,765.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.04 / $265.93 / $268.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.19 / $244.23 / $381.07