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Wisconsin rates for HCPCS 43243

Egd Injection Sclerosis Esophgl/Gastric Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.00 / $849.80 / $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
$600.15 / $701.32 / $1,075.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.31 / $327.12 / $733.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.91 / $362.82 / $4,377.80
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.75 / $327.12 / $735.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.40 / $563.34 / $968.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.37 / $4,901.45 / $4,901.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00