go back

Tennessee 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
$896.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.25 / $8,057.17 / $8,057.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,724.00 / $3,950.00 / $6,090.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $3,299.24 / $5,980.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.00 / $3,335.00 / $6,285.00