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North Carolina rates for HCPCS 43453

Dilation of esophagus, over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $1,339.76 / $4,311.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.44 / $842.52 / $1,675.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.08 / $321.61 / $1,054.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.10 / $688.10 / $12,000.00