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Wisconsin rates for HCPCS 43220

Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.86 / $1,776.56 / $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
$2,442.94 / $2,854.76 / $4,379.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.74 / $420.00 / $1,517.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.03 / $707.47 / $3,242.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.21 / $420.00 / $1,517.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.62 / $920.83 / $2,907.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.49 / $1,562.25 / $4,901.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00