go back

Delaware 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
$4,736.00 / $4,736.00 / $6,907.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $2,612.40 / $2,612.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.00 / $1,485.00 / $1,485.00