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Missouri rates for HCPCS 43453

Dilation of esophagus, over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.41 / $2,507.00 / $7,365.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,652.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.82 / $628.50 / $1,808.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,363.00 / $5,999.30