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Washington rates for HCPCS 43453

Dilation of esophagus, over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.31 / $1,847.31 / $14,464.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.46 / $5,068.58 / $12,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $568.48 / $2,046.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.19 / $600.41 / $2,131.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.86 / $1,502.74 / $1,813.56
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.69 / $1,084.46 / $1,167.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.71 / $5,392.38 / $10,315.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $6,576.25 / $9,713.75