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Massachusetts rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.47 / $2,083.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.51 / $154.02 / $285.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.00 / $2,338.00 / $12,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.24 / $300.47 / $1,865.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.37 / $1,263.74 / $1,263.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.00 / $1,527.80 / $2,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.52 / $278.79 / $495.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $377.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.76 / $191.76 / $342.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.66 / $325.04 / $430.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.20 / $3,649.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.91 / $320.74 / $1,865.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.80 / $265.35 / $495.45