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Ohio rates for HCPCS 43246

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

Facilitymedian $3,020 · 10th–90th $331$9,5500%5%10%10th90th$3,020$1.0$5.0$20.0$100.0$500.0$2.0K$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
$309.03 / $3,388.44 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,630.27 / $5,888.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $208.93 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $512.86 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,047.13 / $2,137.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,290.87 / $5,248.07