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Michigan rates for HCPCS 43453

Dilation of esophagus, over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.25 / $2,056.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.25 / $1,404.94 / $1,939.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.75 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.82 / $3,640.00 / $6,036.00