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Nebraska 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
$4,382.00 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,668.81 / $6,768.46 / $11,878.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.93 / $369.13 / $848.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.43 / $605.85 / $4,285.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00