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Washington, DC 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 $4,467 · 10th–90th $575–$6,4570%20%10th90th$4,467Professionalmedian $219 · 10th–90th $204–$5010%50%10th90th$219$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $4,466.84 / $6,456.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $218.78 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $6,606.93 / $25,118.86