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Georgia 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)

Facilitymedian $3,162 · 10th–90th $955–$7,0790%5%10%10th90th$3,162Professionalmedian $302 · 10th–90th $234–$1,4130%10%20%10th90th$302$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,380.38 / $4,168.69 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $2,187.76 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $741.31 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $302.00 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$707.95 / $707.95 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $2,454.71 / $4,786.30