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Indiana rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $4,897.79 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $8,317.64 / $10,471.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $269.15 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $436.52 / $588.84
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$549.54 / $549.54 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,715.35 / $6,456.54