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Pennsylvania 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $3,715.35 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,230.27 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$309.03 / $309.03 / $309.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,128.61 / $9,772.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $3,090.30 / $7,244.36
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $467.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $478.63 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $2,398.83 / $6,025.60