go back

West Virginia rates for HCPCS 43235

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

Facilitymedian $1,122 · 10th–90th $282$4,5710%5%10%10th90th$1,122Professionalmedian $234 · 10th–90th $112$4470%10%10th90th$234$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
$316.23 / $1,148.15 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $234.42 / $436.52
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $147.91 / $208.93
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $302.00 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $302.00 / $1,318.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $2,454.71 / $4,786.30
Highmark BCBS
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $16,982.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $158.49 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,230.27 / $2,511.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $218.78 / $446.68