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Minnesota rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.37 / $125.37 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.74 / $135.91 / $225.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.48 / $2,993.28 / $6,762.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.14 / $385.04 / $468.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.11 / $457.47 / $1,100.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.48 / $417.15 / $573.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.01 / $417.47 / $866.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.02 / $380.25 / $523.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.66 / $285.85 / $702.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.86 / $319.26 / $1,865.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.57 / $281.50 / $543.72