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Maryland rates for HCPCS 43238

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures)

Facilitymedian $1,995 · 10th–90th $245–$4,8980%10%10th90th$1,995Professionalmedian $234 · 10th–90th $178–$3470%20%10th90th$234$50.0$200.0$1.0K$5.0K

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
$245.47 / $1,995.26 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $812.83 / $1,148.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $588.84 / $1,445.44