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Pennsylvania 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 $3,631 · 10th–90th $603–$7,7620%10%10th90th$3,631$1.0$10.0$100.0$1.0K$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
$602.56 / $3,715.35 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,230.27 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,000.00 / $1,584.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $4,677.35 / $10,715.19
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $2,398.83 / $7,244.36
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $478.63 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,630.27 / $6,309.57