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Wisconsin rates for HCPCS 43246

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

Facilitymedian $4,074 · 10th–90th $269$6,9180%10%20%10th90th$4,074Professionalmedian $417 · 10th–90th $234$7240%20%10th90th$417$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
$0.87 / $398.11 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $588.84 / $933.25
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
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $338.84 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $380.19 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $3,890.45 / $4,570.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $416.87 / $645.65
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $4,897.79 / $4,897.79
Quartz
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$269.15 / $2,630.27 / $3,890.45
Quartz
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$67.61 / $660.69 / $977.24
Quartz
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$208.93 / $2,089.30 / $3,090.30
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$33.88 / $331.13 / $489.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,548.13 / $6,760.83