go back

Massachusetts rates for HCPCS 43204

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

Facilitymedian $2,239 · 10th–90th $158$5,0120%5%10%10th90th$2,239Professionalmedian $186 · 10th–90th $129$3980%10%10th90th$186$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $154.88 / $371.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $3,090.30 / $19,498.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $257.04 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,584.89 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $257.04 / $467.74
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $173.78 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $162.18 / $251.19
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $223.87 / $338.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $3,090.30 / $19,498.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $257.04 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,691.53 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $257.04 / $446.68