# CPT 43245: Egd Dilation Gastric/duodenal Stricture

Medicare CPT 43245 pays $654.99 in a non-facility setting and $156.98 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $571.94 in Arkansas to $758.24 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/43245-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $654.99 |
| National facility | $156.98 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $758.24 | $171.59 |
| California | $751.27 | $161.99 |
| Alaska | $733.94 | $203.57 |
| Washington | $730.90 | $163.17 |
| New Jersey | $729.45 | $168.69 |
| New York | $727.30 | $171.72 |
| Hawaii | $723.17 | $156.94 |
| Massachusetts | $722.44 | $162.93 |
| Connecticut | $701.58 | $165.23 |
| Colorado | $687.73 | $157.85 |
| Oregon | $680.85 | $156.20 |
| Maryland | $680.37 | $161.19 |
| New Hampshire | $675.41 | $156.98 |
| Rhode Island | $673.23 | $158.78 |
| Florida | $670.07 | $170.41 |
| Minnesota | $660.80 | $148.35 |
| Puerto Rico | $660.73 | $157.24 |
| Virgin Islands | $660.73 | $157.24 |
| Montana | $654.96 | $156.96 |
| Nevada | $653.19 | $154.68 |
| Wyoming | $651.34 | $153.34 |
| Illinois | $649.87 | $168.67 |
| Delaware | $647.59 | $155.56 |
| North Dakota | $646.66 | $148.65 |
| Texas | $646.16 | $155.87 |
| Pennsylvania | $645.78 | $157.98 |
| South Dakota | $645.68 | $147.67 |
| Vermont | $642.65 | $149.63 |
| Virginia | $641.67 | $152.13 |
| Arizona | $636.21 | $153.64 |
| Georgia | $633.02 | $157.93 |
| Michigan | $627.73 | $160.09 |
| Maine | $625.69 | $149.84 |
| Wisconsin | $622.57 | $145.48 |
| Utah | $621.12 | $152.99 |
| North Carolina | $613.70 | $149.06 |
| New Mexico | $612.93 | $156.26 |
| South Carolina | $611.79 | $151.63 |
| Missouri | $610.25 | $153.24 |
| Louisiana | $608.60 | $153.93 |
| Indiana | $608.31 | $146.65 |
| Ohio | $608.06 | $153.38 |
| Nebraska | $604.63 | $144.97 |
| Idaho | $604.34 | $146.17 |
| Iowa | $600.57 | $144.89 |
| Tennessee | $599.29 | $146.60 |
| Kansas | $596.12 | $145.92 |
| Oklahoma | $594.00 | $149.28 |
| Kentucky | $593.77 | $151.05 |
| West Virginia | $590.20 | $157.43 |
| Alabama | $581.31 | $145.55 |
| Mississippi | $576.16 | $147.38 |
| Arkansas | $571.94 | $144.15 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 43245 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules