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Maine rates for HCPCS 43197

Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Facilitymedian $692 · 10th–90th $692$6920%50%100%$692Professionalmedian $186 · 10th–90th $81$4270%10%10th90th$186$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $186.21 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $186.21 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $218.78 / $436.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $229.09 / $501.19
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $177.83 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $199.53 / $426.58