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Oklahoma rates for HCPCS 43249

Egd Balloon Dilation Esophagus <30 Mm Diam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.15 / $2,361.00 / $6,068.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$82.21 / $82.21 / $587.91
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$32.88 / $32.88 / $235.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.18 / $198.40 / $1,248.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.26 / $167.63 / $227.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,971.35 / $4,647.35 / $7,250.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.05 / $1,072.40 / $1,472.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.45 / $258.41 / $1,500.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.41 / $748.15 / $2,598.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$551.04 / $551.04 / $551.04
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$137.76 / $137.76 / $137.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.80 / $1,232.64 / $7,882.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,760.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.74 / $1,064.55 / $1,783.07