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Michigan rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $4,073.80 / $5,128.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $398.11 / $398.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $3,890.45 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $3,019.95 / $6,025.60