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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
$812.83 / $3,630.78 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,511.89 / $4,677.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,148.15 / $1,445.44
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $524.81 / $5,128.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $331.13 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,511.89 / $4,786.30