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Wisconsin rates for HCPCS 43213

Esophagoscopy Retrograde Dilate Balloon/Other

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.29 / $1,401.72 / $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
$3,300.80 / $3,857.25 / $5,917.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.79 / $913.74 / $2,083.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.79 / $1,182.49 / $3,583.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.79 / $913.74 / $2,083.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.29 / $1,257.86 / $3,971.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.76 / $1,790.58 / $1,790.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,781.00 / $3,628.00 / $5,471.00