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Utah rates for HCPCS 43195

Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $3,715.35 / $4,897.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,803.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $275.42 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61