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New Jersey rates for HCPCS 43250

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

Facilitymedian $5,623 · 10th–90th $646–$10,4710%10%10th90th$5,623Professionalmedian $372 · 10th–90th $158–$8510%5%10%10th90th$372$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
$645.65 / $5,754.40 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $363.08 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $2,754.23 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $380.19 / $933.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $512.86 / $1,000.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,165.95 / $9,549.93
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $436.52 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $5,011.87 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $281.84 / $776.25