go back

New Jersey 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
$1,862.09 / $4,897.79 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,754.23 / $3,630.78
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $6,165.95 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,511.38