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Texas rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.00 / $3,112.00 / $11,086.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.20 / $2,382.82 / $4,734.50
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.80 / $1,824.37 / $3,760.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.17 / $1,335.95 / $1,335.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.02 / $1,240.44 / $2,530.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $4,901.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.83 / $302.87 / $604.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.86 / $309.97 / $678.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,045.00 / $4,480.00