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Tennessee 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
$418.52 / $2,303.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.80 / $338.31 / $732.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.60 / $147.60 / $199.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.00 / $2,706.00 / $3,620.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.16 / $361.81 / $768.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $1,087.39 / $1,992.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.17 / $366.58 / $768.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.52 / $1,175.46 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.00 / $3,159.52 / $3,713.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.79 / $445.71 / $855.40