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Upper Endoscopy With Tube or Catheter Placement

Massachusetts 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 $2,692 · 10th–90th $170$5,1290%10%10th90th$2,692$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,818.38
Typical High
$5,128.61
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$3,090.30
Typical High
$28,840.32
AllWays Health Partners
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,513.56
Typical High
$1,995.26
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,162.28
Typical High
$8,511.38
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$3,090.30
Typical High
$28,840.32
Mass General Brigham
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,691.53
Typical High
$7,585.78