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New Jersey rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.99 / $4,294.00 / $9,842.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.58 / $163.41 / $236.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.00 / $3,438.00 / $3,438.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.79 / $225.71 / $494.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.07 / $200.39 / $246.35
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,226.74 / $4,611.96 / $8,795.46
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.97 / $158.69 / $330.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,204.00 / $5,225.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.83 / $159.83 / $321.30