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Ohio 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
$416.35 / $4,590.00 / $10,635.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.00 / $3,392.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.36 / $259.63 / $321.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.33 / $3,304.13 / $4,844.85
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.00 / $3,304.13 / $3,609.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $4,072.00 / $6,238.00