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Utah rates for HCPCS 43249

Egd Balloon Dilation Esophagus <30 Mm Diam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.55 / $2,260.89 / $5,393.91
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$118.24 / $118.24 / $118.24
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$47.29 / $47.29 / $47.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.30 / $236.47 / $1,474.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.19 / $312.70 / $1,909.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.46 / $895.11 / $1,130.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,686.94 / $3,607.85 / $5,257.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.87 / $1,185.08 / $1,903.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.26 / $1,117.80 / $2,049.29