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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

Facilitymedian $490 · 10th–90th $195$5,8880%5%10%10th90th$490Professionalmedian $339 · 10th–90th $166$7240%5%10%10th90th$339$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$194.98 / $3,235.94 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $331.13 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $407.38 / $741.31
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $190.55 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $870.96 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $323.59 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $588.84 / $1,000.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $269.15 / $660.69
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $331.13 / $758.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $389.05
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $831.76
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $512.86 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,754.23 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $281.84 / $691.83