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North Carolina rates for HCPCS 43205

Esophagoscopy, flexible, transoral; with band ligation of esophageal varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.81 / $1,245.00 / $5,449.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.70 / $843.36 / $1,431.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.44 / $842.52 / $1,675.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.81 / $266.00 / $391.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.50 / $4,901.45 / $12,000.00