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Arizona rates for HCPCS 43250

Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,897.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.97 / $260.47 / $732.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.24 / $199.24 / $199.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,064.02 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.46 / $353.92 / $559.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.00 / $971.62 / $1,591.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.89 / $316.13 / $765.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.75 / $354.43 / $922.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.05 / $456.96 / $3,314.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,517.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.51 / $407.55 / $817.33