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Wisconsin rates for HCPCS 43450

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

Facilitymedian $2,818 · 10th–90th $151$5,3700%10%10th90th$2,818Professionalmedian $174 · 10th–90th $76$4790%5%10%10th90th$174$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $2,630.27 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $141.25 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $257.04 / $741.31
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $97.72 / $151.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $208.93 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $588.84 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $295.12 / $724.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $173.78 / $2,754.23
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $295.12 / $512.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $177.83 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $380.19 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $120.23
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $3,890.45 / $4,570.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $302.00 / $562.34
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $316.23 / $691.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $2,884.03 / $2,884.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $426.58 / $1,348.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $707.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $436.52 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,311.31 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $208.93 / $549.54