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Texas 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
$248.56 / $1,800.00 / $5,404.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $141.90 / $258.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $43.79 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.89 / $1,233.89 / $2,664.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.15 / $133.78 / $240.26
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.89 / $402.71 / $2,050.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.11 / $55.59 / $76.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $390.51 / $390.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.67 / $722.59 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.96 / $166.41 / $316.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.59 / $11,500.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.09 / $1,343.84 / $1,571.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.04 / $171.50 / $296.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.49 / $176.66 / $323.33
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.36 / $1,291.00 / $3,419.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $175.37 / $436.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.23 / $173.40 / $308.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.03 / $189.77 / $406.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.00 / $2,045.00 / $4,480.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.09 / $190.36 / $295.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.60 / $180.82 / $245.57