go back

Virginia rates for HCPCS 43254

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $3,235.94 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $870.96 / $870.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $275.42 / $549.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $616.60 / $616.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $346.74 / $549.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $354.81 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $2,884.03 / $5,754.40