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Michigan rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.42 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.37 / $170.42 / $209.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.25 / $1,404.94 / $1,883.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.04 / $133.88 / $222.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.54 / $214.61 / $397.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.86 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.24 / $228.14 / $270.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.26 / $102.24 / $147.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $4,857.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $211.13 / $363.42