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Wisconsin 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
$1,894.00 / $1,894.00 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,057.17 / $8,057.17 / $8,057.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,057.17 / $8,057.17 / $8,057.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,496.00 / $8,057.17 / $9,727.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,057.17 / $8,057.17 / $8,057.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,754.00 / $8,384.00