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Massachusetts rates for HCPCS 43249

Egd Balloon Dilation Esophagus <30 Mm Diam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.83 / $1,828.46 / $4,068.80
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$80.53 / $583.21 / $583.21
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$32.21 / $32.21 / $233.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.58 / $235.59 / $1,357.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $1,689.00 / $16,394.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$596.83 / $596.83 / $596.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$149.21 / $149.21 / $149.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.99 / $1,637.26 / $7,375.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.90 / $224.75 / $446.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.34 / $1,263.74 / $2,560.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $1,527.80 / $2,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.98 / $482.83 / $2,997.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.43 / $506.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.55 / $1,515.02 / $2,225.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.58 / $1,066.76 / $2,779.85
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.63 / $1,931.75 / $4,320.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.73 / $311.54 / $542.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,338.00 / $16,394.00
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$596.83 / $596.83 / $596.83
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$149.21 / $149.21 / $149.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.29 / $2,622.58 / $7,375.25
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.63 / $1,808.94 / $2,883.57
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.47 / $87.46 / $141.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.72 / $1,543.23 / $3,624.71