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Ohio rates for HCPCS 43255

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

Facilitymedian $2,399 · 10th–90th $347–$9,1200%5%10%10th90th$2,399Professionalmedian $389 · 10th–90th $195–$1,0720%10%10th90th$389$2.0$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
$331.13 / $2,454.71 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $426.58 / $1,174.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $173.78 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,630.27 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $707.95
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $223.87 / $263.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $676.08 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $426.58 / $1,071.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $616.60 / $2,344.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $416.87 / $954.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $213.80
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $645.65 / $2,344.23
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $446.68 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,290.87 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $398.11 / $954.99