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Wisconsin rates for HCPCS 43195

Esophagoscopy Rigid Transoral Balloon Dilation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.53 / $672.84 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $6,389.00 / $10,382.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.79 / $556.00 / $852.92
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.71 / $214.77 / $369.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.71 / $250.00 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.71 / $219.29 / $373.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.40 / $447.31 / $763.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.81 / $10,639.60 / $10,639.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,781.00 / $3,628.00 / $5,471.00