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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
$445.00 / $1,850.00 / $3,884.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,678.02 / $4,854.31 / $7,466.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $201.19 / $2,291.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.33 / $731.00 / $3,299.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,661.00