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North Carolina 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
$227.89 / $1,338.00 / $8,413.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.36 / $2,446.52 / $4,615.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.89 / $410.14 / $512.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,208.00 / $9,324.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.83 / $13,505.55 / $26,542.00