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Virginia rates for HCPCS 43243

Egd Injection Sclerosis Esophgl/Gastric Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.83 / $3,645.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.37 / $789.83 / $1,140.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.19 / $277.57 / $451.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.34 / $341.38 / $503.69
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.21 / $327.33 / $568.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00