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Pennsylvania rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Facilitymedian $4,786 · 10th–90th $589–$8,3180%10%20%10th90th$4,786$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
$660.69 / $4,786.30 / $8,317.64
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,467.37 / $12,882.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,466.84 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,230.27 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,288.25 / $1,412.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $6,456.54 / $9,772.37
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,019.95 / $6,165.95
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $3,630.78 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,630.27 / $6,309.57