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Wisconsin rates for HCPCS 43241

Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter

Facilitymedian $4,169 · 10th–90th $195–$6,9180%5%10%10th90th$4,169Professionalmedian $295 · 10th–90th $166–$5130%10%20%10th90th$295$100.0$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
$154.88 / $288.40 / $5,495.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $426.58 / $676.08
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $213.80 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $234.42 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $3,890.45 / $4,570.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $295.12 / $457.09
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $4,897.79 / $4,897.79
Quartz
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$190.55 / $2,630.27 / $3,890.45
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,548.13 / $6,760.83