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Louisiana 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
$443.91 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$182.91 / $189.39 / $210.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,563.94 / $3,044.83 / $4,786.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.60 / $1,266.89 / $1,266.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.83 / $525.00 / $1,298.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$230.55 / $230.55 / $230.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,429.00 / $4,010.00