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North Carolina 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
$894.48 / $4,148.00 / $7,593.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.24 / $887.89 / $1,675.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.77 / $550.55 / $669.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.36 / $4,901.45 / $16,394.00