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Wisconsin rates for HCPCS 43248

Egd Insert Guide Wire Dilator Passage Esophagus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.39 / $2,660.35 / $6,780.86
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$90.19 / $232.57 / $747.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.76 / $366.40 / $1,495.21
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
$221.98 / $635.16 / $2,102.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.78 / $193.67 / $233.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.83 / $463.67 / $828.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.78 / $1,301.55 / $1,996.60
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$223.11 / $223.11 / $223.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.33 / $654.48 / $1,720.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.53 / $393.22 / $709.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.53 / $412.52 / $2,855.25
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$595.82 / $595.82 / $595.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.10 / $1,238.35 / $3,058.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $556.52 / $946.60
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.40 / $393.22 / $709.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.43 / $760.16 / $1,379.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.89 / $1,150.80 / $2,855.25
Quartz
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$223.11 / $595.82 / $595.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.33 / $1,557.16 / $3,058.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.08 / $822.17 / $2,100.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,781.00 / $3,628.00 / $5,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.48 / $681.23 / $1,708.94