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Arizona rates for HCPCS 43257

Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,382.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,064.02 / $3,616.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.58 / $2,677.21 / $4,386.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.06 / $315.64 / $3,008.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.00 / $3,311.00 / $5,133.00