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California rates for HCPCS 43255

Egd Transoral Control Bleeding Any Method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.61 / $5,980.00 / $17,701.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$126.72 / $151.22 / $2,175.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.47 / $302.44 / $1,146.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.46 / $107.46 / $339.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.00 / $5,793.00 / $11,233.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.68 / $524.76 / $1,145.33
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $6,539.15
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.69 / $437.22 / $879.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $1,091.68 / $3,039.51
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$269.18 / $269.18 / $269.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.50 / $418.43 / $1,416.24
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.84 / $298.13 / $1,055.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $562.82 / $1,097.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.50 / $1,384.26 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$718.14 / $777.78 / $777.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.42 / $4,354.72 / $5,096.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $512.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.17 / $420.62 / $987.64
Providence
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$269.18 / $269.18 / $269.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.92 / $495.17 / $1,582.98
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.52 / $656.52 / $2,207.29
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.60 / $374.12 / $869.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.00 / $3,965.00 / $12,135.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.24 / $628.34 / $1,665.82