go back

Texas rates for HCPCS 43233

Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.00 / $2,632.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.66 / $2,429.54 / $5,139.42
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.00 / $1,598.68 / $5,151.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.48 / $200.48 / $205.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.02 / $1,240.44 / $3,559.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $4,901.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.57 / $257.48 / $510.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.18 / $264.66 / $575.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.00 / $2,311.00 / $4,739.00