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Virginia 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 $1,660 · 10th–90th $257–$6,7610%5%10th90th$1,660Professionalmedian $269 · 10th–90th $195–$5130%10%10th90th$269$200.0$500.0$1.0K$2.0K$5.0K$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
$323.59 / $3,981.07 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $870.96 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $234.42 / $512.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $416.87 / $512.86
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $338.84 / $549.54
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $338.84 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,754.23 / $5,370.32