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Maine 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
$422.02 / $663.08 / $3,652.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.18 / $295.18 / $611.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.52 / $3,652.11 / $6,149.88