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South Carolina rates for HCPCS 43453

Dilation of esophagus, over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $4,897.79 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,318.26 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $426.58 / $1,318.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $436.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $288.40 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,309.57 / $10,000.00