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Ohio rates for HCPCS 43237

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

Facilitymedian $3,020 · 10th–90th $589–$7,9430%10%10th90th$3,020$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$371.54 / $3,162.28 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,630.27 / $5,888.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $204.17 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $602.56 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,380.38 / $4,073.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,290.87 / $5,248.07