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Colorado rates for HCPCS 43240

Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)

Facilitymedian $6,166 · 10th–90th $1,738–$12,5890%10%10th90th$6,166Professionalmedian $490 · 10th–90th $347–$1,5850%20%10th90th$490$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $5,011.87 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $9,549.93 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $489.78 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $5,248.07 / $12,302.69