go back

Wisconsin rates for HCPCS 43453

Dilation of esophagus, over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $912.01 / $2,818.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $4,073.80
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $316.23 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $323.59 / $3,548.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $891.25 / $2,754.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93