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Massachusetts rates for HCPCS 43236

Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance

Facilitymedian $2,344 · 10th–90th $158–$3,7150%5%10%10th90th$2,344$100.0$500.0$2.0K$10.0K$50.0K

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
$407.38 / $2,884.03 / $3,715.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,819.70 / $28,840.32
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $676.08 / $1,995.26
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $181.97 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,162.28 / $8,511.38
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,041.74 / $4,570.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,819.70 / $28,840.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,398.83 / $6,918.31