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Michigan 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 $2,884 · 10th–90th $617–$4,8980%20%10th90th$2,884$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
$616.60 / $2,884.03 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $575.44 / $575.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $2,754.23 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $5,011.87 / $14,791.08