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Illinois 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
$328.12 / $1,630.00 / $5,827.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.81 / $289.75 / $711.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.59 / $215.36 / $369.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.96 / $2,471.82 / $3,500.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.45 / $442.59 / $742.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $1,300.00 / $2,769.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.21 / $366.06 / $751.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.80 / $584.54 / $1,346.39
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.42 / $213.72 / $584.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $660.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $2,588.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.39 / $483.70 / $962.17