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Wisconsin rates for HCPCS 43235

Esophagogastroduodenoscopy Transoral Diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.77 / $3,055.50 / $7,027.26
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$66.59 / $161.88 / $524.91
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$26.64 / $64.75 / $209.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.97 / $282.83 / $1,243.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.00 / $2,550.00 / $4,471.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.44 / $467.67 / $1,480.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.64 / $143.40 / $172.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.74 / $326.16 / $583.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.86 / $906.66 / $1,390.84
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$165.11 / $165.11 / $165.11
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$41.28 / $41.28 / $41.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.85 / $475.08 / $1,198.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.61 / $275.20 / $539.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.52 / $310.00 / $2,882.35
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$442.02 / $442.02 / $442.02
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$110.50 / $110.50 / $110.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.33 / $966.10 / $2,132.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $411.97 / $673.83
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.40 / $274.33 / $539.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.58 / $540.24 / $969.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.39 / $850.80 / $2,855.25
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$165.11 / $442.02 / $442.02
Quartz
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$41.28 / $110.50 / $110.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.22 / $1,213.00 / $2,132.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.29 / $684.05 / $1,463.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $574.54 / $1,224.10