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North Dakota rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.91 / $135.91 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.37 / $135.91 / $236.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.33 / $290.77 / $340.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.42 / $288.77 / $407.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.24 / $203.78 / $445.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.75 / $259.32 / $1,865.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.64 / $239.54 / $352.63