go back

Virginia 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
$506.63 / $3,384.00 / $7,275.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.18 / $789.83 / $1,140.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.35 / $305.51 / $525.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.41 / $420.81 / $666.69
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.50 / $458.76 / $629.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,521.00 / $5,226.00