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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
$371.54 / $3,311.31 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $870.96 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $691.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $588.84 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $407.38 / $741.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $457.09 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $2,884.03 / $5,754.40