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Nebraska rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $135.43 / $226.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,100.60 / $4,495.00 / $7,888.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.33 / $203.41 / $271.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.77 / $309.04 / $415.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $226.52 / $584.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.49 / $319.77 / $1,865.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.68 / $362.00 / $1,522.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.96 / $318.48 / $410.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $335.90 / $586.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.49 / $304.13 / $377.50