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Michigan rates for HCPCS 43235

Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Facilitymedian $1,445 · 10th–90th $355–$4,2660%10%10th90th$1,445Professionalmedian $240 · 10th–90th $112–$6610%5%10%10th90th$240$10.0$50.0$200.0$1.0K$5.0K

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
$354.81 / $1,445.44 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $245.47 / $676.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $125.89 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $457.09
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $208.93
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $275.42 / $562.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,380.38 / $3,715.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $288.40 / $562.34
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $263.03 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,778.28 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $257.04 / $446.68