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Georgia rates for HCPCS 43238

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures)

Facilitymedian $3,467 · 10th–90th $851–$7,2440%10%10th90th$3,467Professionalmedian $269 · 10th–90th $209–$1,0960%10%20%10th90th$269$200.0$500.0$1.0K$2.0K$5.0K$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
$1,698.24 / $4,365.16 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $2,187.76 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $870.96 / $1,148.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $269.15 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$181.97 / $181.97 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $2,454.71 / $4,786.30