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Massachusetts rates for HCPCS 43246

Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube

Facilitymedian $2,692 · 10th–90th $219–$5,6230%10%10th90th$2,692$100.0$500.0$2.0K$10.0K$50.0K

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
$331.13 / $2,818.38 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $3,090.30 / $28,840.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $645.65 / $1,995.26
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $257.04 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,162.28 / $8,511.38
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $3,090.30 / $28,840.32
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Mass General Brigham
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,691.53 / $7,585.78