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Tennessee rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,630.27 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,754.23 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $933.25 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,187.76 / $3,981.07