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Virginia rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.55 / $2,802.42 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.25 / $789.83 / $1,140.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.53 / $303.04 / $525.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.58 / $380.42 / $516.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.43 / $368.45 / $628.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00