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Washington, DC rates for HCPCS 43250

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

Facilitymedian $1,905 · 10th–90th $437–$4,5710%10%20%10th90th$1,905Professionalmedian $339 · 10th–90th $166–$7410%10%10th90th$339$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
$436.52 / $1,905.46 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $338.84 / $741.31
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $186.21 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $389.05 / $1,230.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $6,606.93 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $338.84 / $891.25