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Virginia rates for HCPCS 43255

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

Facilitymedian $832 · 10th–90th $229$4,8980%5%10th90th$832Professionalmedian $437 · 10th–90th $195$1,0960%5%10%10th90th$437$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
$288.40 / $2,187.76 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $407.38 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $524.81 / $1,047.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $229.09 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $870.96 / $977.24
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
$223.87 / $398.11 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $812.83 / $1,380.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $389.05 / $630.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $436.52 / $1,071.52
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $575.44
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $302.00 / $977.24
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $676.08 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,754.23 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $380.19 / $1,047.13