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Illinois rates for HCPCS 43212

Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)

Facilitymedian $2,512 · 10th–90th $363–$7,7620%5%10th90th$2,512Professionalmedian $513 · 10th–90th $204–$1,0470%10%10th90th$513$100.0$500.0$2.0K$10.0K

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
$363.08 / $2,089.30 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $7,762.47 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $2,511.89 / $7,762.47
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $512.86 / $1,047.13
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $5,128.61 / $9,772.37