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Massachusetts rates for HCPCS 43250

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

Facilitymedian $1,995 · 10th–90th $195$4,7860%5%10%10th90th$1,995Professionalmedian $407 · 10th–90th $170$1,0960%5%10%10th90th$407$100.0$500.0$2.0K$10.0K$50.0K

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
$478.63 / $2,691.53 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $338.84 / $758.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $3,090.30 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $446.68 / $3,162.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,513.56 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $407.38 / $1,096.48
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $223.87 / $3,311.31
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $691.83 / $977.24
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,162.28 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $512.86 / $1,230.27
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,090.30 / $3,090.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $3,090.30 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $446.68 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,691.53 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $416.87 / $1,288.25