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Wisconsin rates for HCPCS 43247

Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)

Facilitymedian $2,818 · 10th–90th $234–$5,7540%10%20%10th90th$2,818Professionalmedian $380 · 10th–90th $174–$1,0720%10%10th90th$380$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 / $2,454.71 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $371.54 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $524.81 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,202.26 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $645.65 / $1,445.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $398.11 / $3,311.31
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $630.96 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $426.58 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $758.58 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $3,890.45 / $4,570.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $1,318.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $630.96 / $1,412.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $2,884.03 / $2,884.03
Quartz
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Quartz
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$239.88 / $1,548.82 / $2,290.87
Quartz
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$58.88 / $389.05 / $575.44
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $812.83 / $2,691.53
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $1,445.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $870.96 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,311.31 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $398.11 / $1,230.27