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Hawaii rates for HCPCS 43450

Dilation of esophagus, by unguided sound or bougie, single or multiple passes

Facilitymedian $2,884 · 10th–90th $871–$2,8840%50%10th$2,884Professionalmedian $158 · 10th–90th $74–$7590%10%10th90th$158$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $134.90 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $186.21 / $467.74
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $165.96 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $234.42 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $154.88 / $257.04
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $1,513.56 / $3,981.07