go back

Illinois 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
$441.05 / $2,079.00 / $5,611.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.36 / $2,713.07 / $5,096.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $1,300.00 / $4,506.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.87 / $448.31 / $1,887.65
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $2,588.00 / $4,780.00