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North Carolina 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
$346.74 / $1,380.38 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $891.25 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$354.81 / $354.81 / $354.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $309.03 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,778.28 / $5,888.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,897.79 / $4,897.79
Wellcare
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45