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Iowa 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 $2,951 · 10th–90th $295–$6,0260%10%10th90th$2,951Professionalmedian $562 · 10th–90th $219–$1,1750%10%10th90th$562$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
$389.05 / $3,090.30 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $645.65 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $549.54 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $562.34 / $691.83
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,466.84 / $6,165.95