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New York 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
$372.56 / $3,621.00 / $9,868.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $4,838.00 / $11,446.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.64 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.33 / $1,538.00 / $39,142.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.04 / $351.00 / $719.55
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.22 / $214.22 / $862.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.33 / $1,765.00 / $39,142.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $4,311.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.16 / $276.16 / $919.69