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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
$691.83 / $3,890.45 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $616.60
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$524.81 / $524.81 / $524.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $3,890.45 / $6,918.31