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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
$794.33 / $1,071.52 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $8,128.31 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $562.34 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,862.09 / $7,079.46