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Alaska rates for HCPCS 43255

Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,570.40 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $524.81 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $602.56 / $1,905.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $630.96 / $1,659.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,202.26 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,288.25 / $3,715.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $537.03 / $1,659.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $645.65 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $645.65 / $2,089.30