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Wisconsin rates for HCPCS 43191

Esophagoscopy Rigid Transoral Diagnostic Brush

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.00 / $565.65 / $21,422.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $3,168.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.20 / $466.49 / $715.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.40 / $180.53 / $311.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.10 / $209.85 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.10 / $180.56 / $311.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.00 / $376.09 / $641.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.03 / $4,901.45 / $4,901.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00