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Indiana rates for HCPCS 43257

Egd Deliver Thermal Energy Sphnctr/Cardia Gerd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.35 / $1,386.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,573.00 / $6,474.00 / $13,758.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.29 / $270.77 / $312.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.33 / $761.00 / $3,191.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,995.00 / $9,243.00