go back

Wisconsin rates for HCPCS 43201

Esophagoscopy Flexible Transoral W Submucous Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.99 / $374.49 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,193.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.17 / $818.20 / $1,255.15
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.17 / $249.51 / $508.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.19 / $261.00 / $2,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.17 / $248.54 / $508.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.76 / $465.12 / $876.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.38 / $720.66 / $4,901.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00