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Wisconsin rates for HCPCS 43259

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $9,332.54 / $15,848.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,071.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $323.59 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $363.08 / $4,897.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $467.74 / $724.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93