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New York rates for HCPCS 43210

Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed

Facilitymedian $5,370 · 10th–90th $977$14,1250%5%10%10th90th$5,370$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $3,801.89 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $10,715.19 / $19,054.61
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,778.28 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $660.69 / $1,548.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $20,417.38
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,677.35 / $11,481.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $501.19 / $741.31