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Nationwide rates for HCPCS 43259

Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis

Facilitymedian $3,715 · 10th–90th $398–$8,9130%10%20%10th90th$3,715Professionalmedian $302 · 10th–90th $200–$1,0720%20%10th90th$302$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$562.34 / $3,890.45 / $9,120.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,248.07 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $776.25 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,511.89 / $6,025.60

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