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Michigan rates for HCPCS 43239

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

Facilitymedian $1,445 · 10th–90th $468–$4,3650%10%10th90th$1,445Professionalmedian $234 · 10th–90th $69–$7940%10%10th90th$234$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
$467.74 / $1,445.44 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $234.42 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $128.82 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $218.78 / $588.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $165.96 / $234.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $446.68 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $338.84 / $691.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,412.54 / $4,073.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $302.00 / $724.44
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $323.59 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,778.28 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $316.23 / $562.34