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New York rates for HCPCS 43245

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

Facilitymedian $3,715 · 10th–90th $661$7,7620%10%10th90th$3,715Professionalmedian $447 · 10th–90th $162$1,1750%10%10th90th$447$50.0$200.0$1.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $3,467.37 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $363.08 / $1,047.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $151.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $549.54 / $1,023.29
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,659.59 / $50,118.72
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
$194.98 / $549.54 / $1,548.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $239.88 / $602.56
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $676.08 / $1,230.27
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $758.58 / $1,230.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,570.40 / $6,456.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $251.19 / $251.19
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $758.58 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,467.37 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $245.47 / $1,230.27
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $741.31
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $707.95 / $1,230.27