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South Carolina rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $3,981.07 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,737.80 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $562.34 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$549.54 / $549.54 / $549.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $371.54 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,309.57 / $10,000.00