go back

Wisconsin rates for HCPCS 43254

Egd Transoral Endoscopic Mucosal Resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.47 / $970.66 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $3,168.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.75 / $801.36 / $1,229.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.86 / $309.97 / $531.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.70 / $373.42 / $4,821.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.70 / $321.75 / $538.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.80 / $638.55 / $1,105.16
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.25 / $4,901.45 / $4,901.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,827.00 / $5,471.00