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New York rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $4,786.30 / $18,620.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $10,000.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $457.09 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$549.54 / $549.54 / $549.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $354.81 / $891.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,466.84 / $7,079.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $8,128.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $316.23 / $501.19