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Wisconsin rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $5,888.44 / $6,456.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $794.33 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$549.54 / $549.54 / $549.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $346.74 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $363.08 / $4,897.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $562.34 / $870.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93