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Tennessee rates for HCPCS 43210

Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.44 / $2,678.00 / $6,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.00 / $6,364.00 / $12,833.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $5,980.00 / $9,862.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $40,416.10 / $40,416.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $4,027.00 / $7,669.00