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Washington 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
$436.52 / $7,762.47 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $912.01 / $6,760.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $512.86 / $6,309.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $446.68 / $467.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $316.23 / $3,019.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $10,964.78 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $11,220.18 / $21,379.62