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Michigan 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
$2,056.00 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,057.17 / $8,057.17 / $8,057.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $2,878.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.00 / $4,933.00 / $8,057.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,574.00 / $7,355.00