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Texas 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)

Facilitymedian $2,239 · 10th–90th $398–$5,8880%5%10th90th$2,239$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,754.23 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,454.71 / $4,786.30
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $1,258.93 / $2,754.23
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,148.15 / $1,445.44
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $28,840.32 / $28,840.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $489.78 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,995.26 / $3,981.07