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New York rates for HCPCS 43236

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

Facilitymedian $3,311 · 10th–90th $447–$7,4130%5%10th90th$3,311$200.0$1.0K$5.0K$20.0K

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 / $3,090.30 / $7,585.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $1,479.11 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $194.98 / $467.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,000.00 / $1,995.26
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,467.37 / $7,244.36
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $165.96 / $676.08