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Wisconsin rates for HCPCS 43233

Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $3,090.30 / $3,548.13
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
$575.44 / $676.08 / $1,071.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $288.40 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $309.03 / $4,897.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $478.63 / $741.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93