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North Carolina rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.38 / $1,245.00 / $6,953.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.51 / $139.44 / $244.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.37 / $369.85 / $584.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.44 / $842.52 / $1,675.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.20 / $264.32 / $419.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.38 / $265.00 / $404.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.00 / $396.00 / $450.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.39 / $332.90 / $437.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.82 / $207.04 / $365.76
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.20 / $4,901.45 / $12,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.75 / $1,865.75 / $1,865.75