go back

Arizona 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
$1,170.00 / $2,771.00 / $6,305.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.00 / $8,057.17 / $8,057.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $1,381.10 / $2,420.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.38 / $459.86 / $534.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,229.34 / $2,947.98 / $4,830.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,902.00 / $8,057.17 / $12,085.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,243.95 / $5,107.00