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Virginia 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
$194.49 / $2,705.00 / $7,275.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.81 / $260.47 / $554.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.02 / $364.72 / $643.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.43 / $190.40 / $537.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $789.83 / $1,140.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.96 / $330.44 / $776.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.51 / $502.33 / $661.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.84 / $319.83 / $733.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.08 / $490.00 / $834.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.94 / $234.16 / $409.54
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.87 / $541.58 / $1,025.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.33 / $429.04 / $803.72