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Arizona 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
$2,041.74 / $3,715.35 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,041.74 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $977.24 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $338.84 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$537.03 / $3,715.35 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $4,677.35