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Oklahoma rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $3,612.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.51 / $144.33 / $209.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.11 / $224.00 / $333.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.66 / $249.94 / $3,910.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.68 / $194.11 / $1,865.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,928.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.64 / $168.90 / $263.20