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Texas 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 $2,344 · 10th–90th $324–$6,9180%5%10th90th$2,344$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
$724.44 / $2,884.03 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,454.71 / $4,677.35
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,148.15 / $1,412.54
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $363.08 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $331.13 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,995.26 / $3,981.07