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West Virginia rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.74 / $886.74 / $1,728.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.77 / $313.58 / $341.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.25 / $303.25 / $303.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.74 / $1,706.18 / $8,141.44