go back

South Carolina rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $154.88 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,348.96 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $346.74 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $426.58 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $251.19 / $457.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $363.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $239.88 / $398.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,309.57 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $186.21 / $389.05