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Missouri 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
$1,184.00 / $3,131.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.25 / $843.00 / $4,573.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,644.00 / $6,644.00 / $6,644.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.00 / $3,018.00 / $10,154.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $2,913.42 / $5,200.00