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Tennessee rates for HCPCS 43255

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.08 / $2,036.00 / $4,069.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$90.93 / $274.58 / $716.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.95 / $357.07 / $1,074.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.94 / $268.58 / $369.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.00 / $2,687.00 / $3,637.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.16 / $497.34 / $1,226.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $1,087.39 / $1,992.00
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
$233.31 / $463.01 / $1,137.25
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.00 / $2,216.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.97 / $654.27 / $1,413.75