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New York 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
$240.93 / $2,884.50 / $7,521.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.93 / $279.67 / $741.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.98 / $286.98 / $286.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,085.00 / $8,281.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.02 / $415.06 / $881.55
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.09 / $1,716.00 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.09 / $240.09 / $663.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $1,409.00 / $39,142.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.72 / $425.19 / $1,198.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.00 / $282.00 / $610.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.19 / $458.57 / $854.14
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.01 / $407.01 / $639.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.32 / $499.70 / $828.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.08 / $928.08 / $3,405.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $1,470.00 / $39,142.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.07 / $534.09 / $1,132.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.00 / $3,612.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.17 / $459.76 / $1,122.78
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.04 / $201.04 / $747.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.32 / $531.23 / $895.40