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Missouri 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
$1,258.00 / $3,392.00 / $7,996.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$119.45 / $119.45 / $155.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,508.00 / $3,523.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,437.00 / $2,769.00 / $4,641.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.90 / $391.86 / $1,689.00
Medica
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
$1,185.00 / $2,306.00 / $3,041.00