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Texas 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
$714.00 / $3,213.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,334.19 / $4,528.60 / $8,967.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.19 / $201.19 / $203.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.00 / $3,097.48 / $3,741.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $13,505.55 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.80 / $335.11 / $554.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.80 / $344.35 / $616.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.00 / $3,239.00 / $7,600.00