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Maryland 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $2,510.86 / $3,194.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.73 / $282.60 / $475.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.00 / $964.00 / $2,489.00