go back

Virginia 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
$266.31 / $5,087.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.33 / $875.00 / $2,679.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.38 / $271.02 / $525.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.38 / $346.20 / $493.15
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.50 / $344.71 / $555.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00