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Georgia rates for HCPCS 43216

Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps

Facilitymedian $3,020 · 10th–90th $525$7,4130%5%10%10th90th$3,020Professionalmedian $457 · 10th–90th $141$8130%10%10th90th$457$200.0$500.0$1.0K$2.0K$5.0K$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
$426.58 / $3,630.78 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,089.30 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $549.54 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $457.09 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $3,235.94 / $6,025.60