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Michigan rates for HCPCS 43255

Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method

Facilitymedian $1,000 · 10th–90th $251–$4,8980%10%10th90th$1,000Professionalmedian $389 · 10th–90th $195–$1,0230%5%10%10th90th$389$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
$251.19 / $1,000.00 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $436.52 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $295.12 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $316.23 / $331.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $239.88 / $263.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $741.31 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $467.74 / $1,148.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $870.96 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $467.74 / $1,071.52
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $446.68 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,951.21 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $398.11 / $912.01