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Oregon rates for HCPCS 43210

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

Facilitymedian $813 · 10th–90th $427–$7,9430%20%10th90th$813Professionalmedian $794 · 10th–90th $603–$1,0000%20%10th90th$794$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
$851.14 / $1,071.52 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $12,302.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $794.33 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $1,000.00
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $812.83 / $851.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $562.34 / $1,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $32,359.37 / $38,904.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $20,892.96 / $45,708.82