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Texas rates for HCPCS 43453

Dilation Esophagus Guide Wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $2,124.00 / $6,762.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.34 / $2,071.34 / $4,438.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $75.97 / $795.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.02 / $1,240.44 / $1,652.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.10 / $11,500.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.80 / $294.16 / $1,099.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.84 / $299.93 / $1,199.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,054.00 / $4,475.00