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Tennessee rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.94 / $2,133.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.74 / $165.89 / $267.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $2,554.00 / $3,591.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.16 / $208.26 / $343.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.00 / $1,087.39 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.35 / $218.09 / $385.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.20 / $4,901.45 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.75 / $1,865.75 / $1,865.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.68 / $210.83 / $346.92