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Kentucky rates for HCPCS 43245

Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)

Facilitymedian $2,239 · 10th–90th $295$5,4950%5%10th90th$2,239Professionalmedian $309 · 10th–90th $166$9550%10%10th90th$309$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$234.42 / $1,148.15 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $316.23 / $1,000.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $177.83 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,818.38 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $190.55 / $562.34
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $199.53 / $263.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $199.53 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $426.58 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $2,089.30 / $4,168.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $288.40 / $812.83