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Indiana 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 $5,129 · 10th–90th $380–$10,0000%5%10%10th90th$5,129$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
$309.03 / $3,801.89 / $8,709.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $8,317.64 / $10,471.29
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $257.04 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $549.54 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,715.35 / $6,456.54