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North Carolina rates for HCPCS 43237

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures

Facilitymedian $2,344 · 10th–90th $209–$6,7610%5%10th90th$2,344Professionalmedian $389 · 10th–90th $389–$3890%50%100%$389$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $3,235.94 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $891.25 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $263.03 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $2,398.83 / $5,623.41
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07