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Maryland rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $154.88 / $363.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $144.54 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $812.83 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $199.53 / $371.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $138.04 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $316.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $158.49 / $181.97