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Vermont rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.47 / $243.28 / $713.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.05 / $247.61 / $477.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.40 / $240.00 / $477.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.35 / $271.25 / $585.95