go back

New York 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
$1,548.00 / $4,043.00 / $9,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,626.00 / $8,057.17 / $8,057.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.00 / $13,296.25 / $13,296.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,561.34 / $2,561.34 / $2,561.34
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $6,984.36 / $13,296.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $3,972.00 / $9,202.00