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Washington rates for HCPCS 43210

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.96 / $4,500.00 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $28,523.91 / $40,416.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $870.49 / $16,877.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.95 / $955.40 / $14,801.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.91 / $821.93 / $856.12
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.40 / $1,679.99 / $8,723.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,916.23 / $29,154.55 / $55,801.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $2,759.00 / $11,941.00