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Illinois 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
$755.00 / $1,609.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,057.17 / $8,057.17 / $8,057.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.31 / $5,433.31 / $6,940.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $587.00 / $5,101.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.00 / $3,620.00 / $6,195.00