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Virginia rates for HCPCS 43204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.04 / $2,561.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.38 / $154.02 / $203.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.50 / $156.81 / $257.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.26 / $149.10 / $499.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.61 / $610.00 / $972.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.82 / $225.95 / $368.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.23 / $159.04 / $371.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.31 / $220.25 / $360.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $255.00 / $355.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.01 / $223.31 / $376.89
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.01 / $223.31 / $383.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.60 / $197.40 / $305.83