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Wisconsin rates for HCPCS 43243

Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices

Facilitymedian $4,169 · 10th–90th $457–$6,9180%10%10th90th$4,169Professionalmedian $490 · 10th–90th $269–$8510%10%10th90th$490$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
$257.04 / $478.63 / $14,454.40
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
$602.56 / $707.95 / $1,122.02
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $363.08 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $398.11 / $4,897.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $3,890.45 / $4,570.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $489.78 / $758.58
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $4,897.79 / $4,897.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,548.13 / $6,760.83