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Ohio rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.53 / $2,485.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.72 / $135.43 / $241.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,118.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.62 / $251.70 / $442.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.27 / $151.52 / $187.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.90 / $138.90 / $188.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.61 / $577.00 / $1,758.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.82 / $208.35 / $370.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $577.00 / $1,309.85
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.90 / $208.35 / $370.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.01 / $116.40 / $156.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $2,499.00 / $5,235.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.87 / $185.53 / $323.58