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Michigan rates for HCPCS 43249

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)

Facilitymedian $1,318 · 10th–90th $204$3,9810%10%10th90th$1,318Professionalmedian $295 · 10th–90th $141$1,5850%10%10th90th$295$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
$223.87 / $1,318.26 / $3,981.07
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $309.03 / $1,584.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $154.88 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $239.88 / $281.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $186.21 / $263.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,230.27 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $467.74 / $1,778.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $1,174.90 / $3,715.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $316.23 / $1,778.28
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $489.78 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,951.21 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $1,513.56