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Louisiana rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.37 / $193.74 / $236.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.50 / $1,939.93 / $3,606.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.13 / $197.79 / $254.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $118.50 / $831.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.61 / $525.00 / $1,197.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.26 / $207.71 / $360.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.64 / $184.76 / $355.58