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Wyoming rates for HCPCS 43204

Esophagoscopy Flex Transoral Injection Varices

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.10 / $135.43 / $209.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.00 / $415.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.69 / $268.11 / $323.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.80 / $271.64 / $867.25