go back

Virginia rates for HCPCS 43213

Esophagoscopy Retrograde Dilate Balloon/Other

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.57 / $3,832.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.76 / $610.00 / $972.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.69 / $1,332.77 / $1,943.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,182.90 / $2,162.33
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.13 / $356.36 / $620.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00