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Missouri 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
$1,704.00 / $3,697.00 / $7,996.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,508.00 / $3,523.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,437.00 / $2,769.00 / $4,641.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $366.87 / $3,532.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,620.00