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Minnesota 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
$213.80 / $213.80 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $7,244.36 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $831.76 / $1,949.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $416.87 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $4,786.30 / $9,332.54