go back

Wisconsin rates for HCPCS 43201

Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $295.12 / $1,905.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $812.83 / $1,318.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $257.04 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $263.03 / $3,548.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $363.08 / $912.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93