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Massachusetts 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 $2,570 · 10th–90th $398–$4,8980%5%10%10th90th$2,570$100.0$500.0$2.0K$10.0K$50.0K

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
$1,412.54 / $2,691.53 / $3,715.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $3,090.30 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,513.56 / $1,995.26
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $323.59 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,162.28 / $8,511.38
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,311.31 / $3,388.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $3,090.30 / $28,840.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,691.53 / $7,585.78