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Massachusetts 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
$272.37 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$136.19 / $136.19 / $136.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.00 / $1,427.40 / $4,901.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$531.20 / $3,716.72 / $3,716.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $748.00 / $1,923.56
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.89 / $542.50 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.23 / $1,610.23 / $1,610.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,866.13 / $4,901.45
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$531.20 / $3,716.72 / $3,716.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00