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Kansas rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $3,500.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.24 / $139.66 / $226.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $911.76 / $1,543.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.61 / $333.66 / $333.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.00 / $910.00 / $2,437.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.66 / $241.78 / $449.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.66 / $282.39 / $3,181.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.79 / $253.72 / $1,865.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.00 / $2,081.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $222.79 / $292.58