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Louisiana 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
$758.58 / $2,041.74 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,897.79 / $7,413.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $199.53 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $812.83 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,630.27 / $6,606.93