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Oklahoma rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $234.42 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $257.04 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,995.26 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $158.49 / $275.42