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Wisconsin rates for HCPCS 43251

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

Facilitymedian $3,715 · 10th–90th $468$6,4570%10%10th90th$3,715Professionalmedian $479 · 10th–90th $191$1,4450%10%10th90th$479$1.0$5.0$20.0$100.0$500.0$2.0K$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
$562.34 / $3,715.35 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $446.68 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $630.96 / $1,949.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $239.88 / $338.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $436.52 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,548.82 / $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
$239.88 / $707.95 / $2,089.30
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $501.19 / $3,311.31
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $724.44 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $562.34 / $4,265.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $1,000.00 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $3,890.45 / $4,570.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $707.95 / $1,698.24
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $741.31 / $1,778.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $4,897.79 / $4,897.79
Quartz
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $1,047.13 / $3,467.37
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $1,905.46
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $977.24 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,548.13 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $489.78 / $1,584.89