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Missouri rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.06 / $139.66 / $213.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,508.00 / $3,523.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.57 / $253.43 / $415.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $2,769.00 / $4,641.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.90 / $236.03 / $417.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.37 / $223.53 / $2,745.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.62 / $296.24 / $1,865.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,332.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.32 / $233.61 / $351.04