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Arkansas rates for HCPCS 43253

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(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
$326.06 / $1,632.00 / $4,478.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$163.03 / $163.03 / $265.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.26 / $1,771.26 / $2,019.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $561.00 / $930.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $1,106.00 / $2,539.00