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Virginia rates for HCPCS 43453

Dilation of esophagus, over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.86 / $2,190.00 / $6,827.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.88 / $610.00 / $972.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.48 / $872.42 / $1,308.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.92 / $287.18 / $1,396.09
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.14 / $117.28 / $205.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,774.00 / $5,301.00