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Illinois rates for HCPCS 43453

Dilation of esophagus, over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.91 / $1,451.00 / $4,634.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.66 / $1,601.19 / $3,183.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.88 / $480.00 / $1,681.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.41 / $696.12 / $1,290.64
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $2,685.00 / $4,978.14