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Illinois rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,630.27 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,754.23 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,698.24 / $2,754.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $812.83 / $1,479.11
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,238.72 / $4,786.30