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Wisconsin rates for HCPCS 43233

Egd Esophagus Balloon Dilation 30 Mm Or Larger

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.93 / $813.59 / $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
$574.91 / $671.83 / $1,030.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.56 / $261.48 / $444.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.56 / $312.61 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.56 / $272.11 / $457.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.40 / $543.34 / $927.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.07 / $4,901.45 / $4,901.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,883.00 / $3,242.00 / $6,438.00