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Washington 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
$2,290.87 / $6,456.54 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $8,128.31 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $870.96 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $9,549.93 / $15,488.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $60.26 / $79.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $9,332.54 / $9,332.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,754.23 / $3,981.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $10,964.78 / $20,892.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,818.38 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $11,220.18 / $21,379.62