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Texas 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
$649.00 / $2,444.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.50 / $8,057.17 / $8,057.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.79 / $316.99 / $587.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,176.02 / $3,763.59 / $6,644.00
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,057.17 / $8,057.17 / $8,621.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,461.35 / $6,644.00 / $8,057.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.00 / $3,217.00 / $7,600.00