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Virginia rates for HCPCS 43246

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

Facilitymedian $525 · 10th–90th $229–$5,8880%5%10%10th90th$525Professionalmedian $240 · 10th–90th $174–$4470%10%10th90th$240$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
$245.47 / $2,570.40 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $794.33 / $977.24
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $208.93 / $436.52
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $354.81 / $457.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $295.12 / $501.19
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $295.12 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,754.23 / $5,370.32