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Utah rates for HCPCS 43510

Gstrt W/Esophgl Dilat&Insj Prm Intral Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.08 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.46 / $1,252.08 / $2,727.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.45 / $1,313.30 / $1,945.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $630.55 / $911.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.59 / $1,718.74 / $2,504.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.40 / $1,528.03 / $1,898.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.71 / $1,152.40 / $1,824.24