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Washington 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
$145.72 / $424.86 / $13,750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.44 / $154.90 / $356.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $36.70 / $74.97
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.08 / $2,511.87 / $12,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.69 / $342.55 / $1,387.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $568.48 / $1,192.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.58 / $220.31 / $546.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.16 / $220.77 / $826.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $211.93 / $540.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.03 / $274.13 / $466.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.20 / $326.29 / $388.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.83 / $416.80 / $666.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $254.31 / $487.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.80 / $2,568.87 / $4,913.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $254.92 / $426.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,120.00 / $6,857.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.93 / $303.70 / $535.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.69 / $154.60 / $211.76