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Rhode Island rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.24 / $170.42 / $285.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.85 / $178.65 / $295.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.00 / $443.00 / $1,605.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.16 / $278.95 / $395.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.00 / $2,384.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.40 / $211.37 / $297.79