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North Dakota 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
$2,000.00 / $2,000.00 / $8,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $7,381.30 / $8,057.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $1,530.00 / $1,530.00