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Maine 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
$319.17 / $319.17 / $8,663.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.83 / $294.83 / $699.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$230.55 / $230.55 / $230.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,663.21 / $8,663.21 / $8,663.21