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New York 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
$512.86 / $3,801.89 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,365.16 / $9,772.37
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$524.81 / $524.81 / $524.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $446.68 / $891.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,677.35 / $6,760.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $8,128.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $309.03 / $1,621.81