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Utah 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
$630.96 / $2,344.23 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $147.91 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $177.83 / $398.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $251.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $3,467.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $213.80 / $389.05
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $199.53 / $363.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $239.88 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $144.54 / $263.03