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Maine rates for HCPCS 43239

Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple

Facilitymedian $2,239 · 10th–90th $186–$5,8880%10%10th90th$2,239Professionalmedian $240 · 10th–90th $66–$6920%10%10th90th$240$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
$186.21 / $2,137.96 / $5,888.44
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $208.93 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $363.08 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $371.54 / $812.83
Community Health Options
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $6,456.54
Community Health Options
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $208.93 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $457.09 / $1,047.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $457.09 / $3,467.37
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $371.54 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $380.19 / $912.01