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California 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
$1,357.30 / $7,108.00 / $20,135.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.00 / $5,863.00 / $13,697.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $9,400.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.00 / $2,825.57 / $8,033.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.94 / $255.15 / $344.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.10 / $279.85 / $513.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.83 / $13,505.55 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.39 / $306.01 / $540.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,181.00 / $7,218.00 / $15,471.00