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Pennsylvania rates for HCPCS 43246

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

Facilitymedian $3,548 · 10th–90th $347$8,1280%10%10th90th$3,548$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
$346.74 / $3,548.13 / $8,128.31
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $4,570.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,230.27 / $2,454.71
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
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,071.52 / $1,548.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $3,890.45 / $7,585.78
Highmark BCBS
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $8,128.31
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $2,398.83 / $6,606.93
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $194.98 / $1,258.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,630.27 / $6,309.57