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Pennsylvania rates for HCPCS 43251

Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

Facilitymedian $2,512 · 10th–90th $537–$7,2440%5%10%10th90th$2,512Professionalmedian $380 · 10th–90th $182–$9770%10%10th90th$380$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$537.03 / $2,454.71 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $380.19 / $977.24
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $190.55 / $354.81
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,467.37 / $15,135.61
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $269.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $758.58 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,230.27 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $338.84 / $776.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $707.95 / $1,122.02
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,412.54 / $1,548.82
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $537.03 / $891.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $3,890.45 / $7,585.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $245.47 / $354.81
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,019.95 / $7,585.78
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $275.42
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $1,621.81 / $6,165.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $467.74 / $1,096.48
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $1,737.80 / $8,709.64
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $831.76 / $1,148.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $371.54 / $478.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $380.19 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,630.27 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $707.95