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Wisconsin rates for HCPCS 43453

Dilation Esophagus Guide Wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.05 / $912.90 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $3,168.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,176.19 / $2,543.07 / $3,901.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.41 / $241.41 / $1,278.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.92 / $320.11 / $3,036.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.39 / $234.57 / $1,278.06
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.42 / $819.76 / $2,588.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.88 / $1,269.29 / $4,901.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $3,912.00 / $5,865.00