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Maryland rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $2,630.27 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $812.83 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$549.54 / $549.54 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $269.15 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $1,318.26