go back

Missouri rates for HCPCS 43248

Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.68 / $1,110.00 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$75.50 / $98.36 / $221.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $277.23 / $673.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.98 / $181.58 / $282.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,508.00 / $3,523.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.73 / $320.87 / $597.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.00 / $2,769.00 / $4,641.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.69 / $344.19 / $718.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.40 / $380.68 / $1,187.72
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$595.82 / $595.82 / $595.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.37 / $747.56 / $3,058.16
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.50 / $216.65 / $324.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $1,895.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.76 / $486.48 / $908.71