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Virginia rates for HCPCS 43245

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

Facilitymedian $794 · 10th–90th $200$5,1290%5%10%10th90th$794Professionalmedian $372 · 10th–90th $170$1,0470%5%10%10th90th$372$50.0$200.0$1.0K$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
$275.42 / $1,862.09 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $346.74 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $467.74 / $1,000.00
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $870.96 / $977.24
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
$181.97 / $331.13 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $776.25 / $1,318.26
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $263.03 / $891.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $338.84 / $1,000.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $389.05
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $794.33
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $691.83 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,754.23 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $302.00 / $933.25