go back

Illinois 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
$501.19 / $2,344.23 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,754.23 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,511.89 / $2,754.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $794.33 / $1,445.44
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,238.72 / $4,786.30