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Kentucky rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.72 / $860.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.19 / $132.51 / $190.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.68 / $220.95 / $324.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.11 / $173.10 / $199.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.11 / $173.10 / $247.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.61 / $151.61 / $151.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.82 / $250.00 / $412.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $173.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $794.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.35 / $237.50 / $326.04