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Wisconsin rates for HCPCS 43266

Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)

Facilitymedian $9,772 · 10th–90th $437–$18,1970%5%10%10th90th$9,772Professionalmedian $457 · 10th–90th $251–$7940%10%10th90th$457$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $6,309.57 / $27,542.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $645.65 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $295.12 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $331.13 / $11,481.54
Medica
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $8,709.64 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $707.95
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $16,218.10 / $23,988.33
Quartz
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Quartz
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$295.12 / $12,882.50 / $19,054.61
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $10,232.93 / $12,589.25