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Upper Endoscopy With Tube or Catheter Placement

Washington, DC rates for HCPCS 43241

A thin flexible scope is passed through the mouth into the esophagus, stomach and the first part of the small intestine, and a feeding or drainage tube is guided into position through it. Seeing the lining directly lets the doctor steer the tube past narrowed areas and confirm where it ends up. Sedation is normally given.

Facilitymedian $3,631 · 10th–90th $363$4,5710%10%20%10th90th$3,631Professionalmedian $138 · 10th–90th $132$3160%50%10th90th$138$200.0$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
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$3,630.78
Typical High
$4,570.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$138.04
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,606.93
Typical High
$25,118.86