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Idaho rates for HCPCS 43450

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.98 / $661.65 / $3,919.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $170.40 / $556.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.51 / $163.47 / $320.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.46 / $231.92 / $556.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.02 / $202.88 / $362.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $257.25 / $323.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.85 / $1,837.93 / $2,746.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.85 / $181.70 / $374.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.76 / $228.38 / $360.39