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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
$504.48 / $2,095.00 / $5,393.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$131.44 / $252.24 / $295.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.36 / $2,713.07 / $5,089.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $908.00 / $2,769.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$230.55 / $230.55 / $230.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.77 / $435.78 / $1,248.84
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
$815.00 / $2,588.00 / $4,780.00