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Idaho 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
$4,500.00 / $8,057.17 / $8,057.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $8,057.17 / $8,057.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,057.17 / $8,057.17 / $10,272.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,992.12 / $8,510.83 / $12,063.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00