go back

Ohio 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
$435.16 / $2,902.00 / $8,956.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,443.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.16 / $292.99 / $362.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.18 / $885.00 / $1,758.30
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $885.00 / $1,635.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $2,499.00 / $5,235.00