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Missouri rates for HCPCS 43450

Dilation Esoph Unguided Sound/Bougie 1/Mult Pass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.60 / $1,368.00 / $5,283.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $154.90 / $416.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.35 / $62.17 / $72.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $148.72 / $283.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.68 / $169.31 / $337.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.33 / $183.04 / $648.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.38 / $328.85 / $1,387.84
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $80.29 / $130.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,332.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.18 / $230.67 / $412.19