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Colorado rates for HCPCS 43242

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.50 / $3,200.00 / $6,680.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,082.00 / $9,729.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.18 / $800.00 / $2,213.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.66 / $392.15 / $612.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.68 / $379.61 / $531.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.00 / $3,344.00 / $7,016.00