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Arkansas rates for HCPCS C9777

Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,313.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.40 / $8,057.17 / $8,057.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $561.00 / $2,822.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,485.00 / $4,064.00